Mercy Medical Center Clinton Medical Receptionist - SJMGO Clarkston OB in Clarkston, Michigan

Department:

16401_45371 Clarkston OB Gyn - OA

Expected Weekly Hours:

40

Shift:

Day Shift

Position Purpose:

Job Description Details:

I Accountability Objectives:

Supports Physician Network practice by creating a patient-centered experience when answering telephones, schedule appointments and procedures, registers patients, performs patient billing and other general business functions as assigned. Displays courteous, professional manner and proactively develops customer relationships, giving high priority to customer inquiries. Completes accurate pre-registration/registration process and insurance verification for eligibility for coverage. Secures necessary authorizations to facilitate reimbursement.

II Position Qualifications:

Minimum Education, Licensure / Certification and Experience Required.

A. Education

  • High school diploma, or equivalent required. College classes desirable in a business or public relations concentration.

B. Licensure / Certification

Not Applicable

C Special Skill / Aptitudes

  • Excellent customer service orientation skills necessary in order to deal effectively with various levels of hospital personnel, outside customers and community groups.

  • Medical terminology preferred with ICD coding experience and knowledge of third-party payers.

  • Demonstrates responsiveness to needs of patients, other care team members, and self.

  • Ability to organize and prioritize, in a fast-paced environment.

  • Ability to use and effectively integrate positive communication approaches to meet diverse patient needs, optimize resources, and adapt care processes to accommodate changing patient acuity and unit needs.

  • Ability to use critical thinking, logic and reasoning to address complex situations.

  • Excellent interpersonal service skills necessary in order to form and maintain positive relationships with customers and other healthcare professionals.

D. Experience

  • One year of physician practice, urgent care or hospital based system experience preferred.

  • Medical terminology, coding and knowledge of managed care preferred.

III Duties / Responsibilities:

Responsible for accurate patient registration, including insurance eligibility verification. Maintains current

knowledge of managed care information, and other PPO, POS and HMO products (i.e. current practice

management systems), to include benefits, waivers and provider status eligibility.

Schedules appointments by phone or at discharge utilizing patient scheduling software. Schedules procedures and records specific information/data required. Prints and distributes daily schedules and pulls appropriate charts/medical records for the next days appointments. Maintains up to date knowledge of coding for primary care (or specialty care as appropriate) in the office utilizing CPT, ICD and HCPCs. Enters patient charges, posts payments and balances daily batches utilizing billing system application. Answers patient questions about payment status. Responsible for the collection of point of service payments, previous balances and any other fees from patients. Reconciles daily cash/cash drawer including a minimum of three deposits weekly per site. Gives appropriate receipt to patients. May count and balance petty cash drawer daily. Understands and performs referral process. Maintains, troubleshoots and assists with all patient referrals. Assures that referrals are accurate and complete. Maintains knowledge of plans and participating physicians including specialists. Communicates and educates referral process to patients as needed. Understands the utilization process and appropriateness of each referral. Greets patients as they enter, exhibiting appropriate customer service standards. Collects patient demographic information/data and initiates patient medical record. Works with the team to assure smooth flow in all operations of the practice. Answers telephones, routes calls to appropriate staff, takes accurate phone messages, and relays messages to staff and physicians. May perform filing for the practice which includes faxes, mail opened and distributed, reports, results, messages. Files charts back alphabetically or numerically (site specific) Participates in staff meetings, education, in-services, competence programs, process improvements projects and quality improvement projects as necessary. Adheres to hospital policy regarding awareness of and sensitivity to patient rights, privacy and confidentiality. Understands the policies regarding patient confidentiality and copying documents for patients, physicians, subpoenas, and insurance companies. Performs Other duties as assigned.

V Dept/Unit Specific:

Site specific • responsibilities may be assigned.

V Working Conditions:

  • General office demands such as sitting, computer use requiring manual dexterity, walking about, bending and stooping.

  • Exposure to healthcare environmental conditions.

  • Weekend, holiday and evening work may be required.

Trinity Health's Commitment to Diversity and Inclusion

Trinity Health employs about 133,000 colleagues at dozens of hospitals and hundreds of health centers in 22 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Trinity Health's dedication to diversity includes a unified workforce (through training and education, recruitment, retention and development), commitment and accountability, communication, community partnerships, and supplier diversity.

Trinity Health is one of the largest multi-institutional Catholic health care delivery systems in the nation, serving diverse communities that include more than 30 million people across 22 states. Trinity Health includes 94 hospitals, as well as 109 continuing care locations that include PACE programs, senior living facilities, and home care and hospice services. Its continuing care programs provide nearly 2.5 million visits annually.

Based in Livonia, Mich., and with annual operating revenues of $17.6 billion and assets of $24.7 billion, the organization returns $1.1 billion to its communities annually in the form of charity care and other community benefit programs. Trinity Health employs about 133,000 colleagues, including 7,800 employed physicians and clinicians.

Committed to those who are poor and underserved in its communities, Trinity Health is known for its focus on the country's aging population. As a single, unified ministry, the organization is the innovator of Senior Emergency Departments, the largest not-for-profit provider of home health care services — ranked by number of visits — in the nation, as well as the nation’s leading provider of PACE (Program of All Inclusive Care for the Elderly) based on the number of available programs. For more information, visit www.trinity-health.org at http://www.trinity-health.org/ . You can also follow @TrinityHealthMI on Twitter.