Mercy Medical Center Clinton Medical Receptionist - Union Lake Pediatrics in Saint Joseph Mercy Health System Primary Care - Specialty Care - Commerce Township, Michigan

Department:

16401_45470 Union Lake Peds - OA

Expected Weekly Hours:

40

Shift:

Day Shift

Position Purpose:

Job Description Details:

Position Title: Medical Receptionist - Physician Network Practice (152)

Employee Classification: Non-Exempt/Non-Union Grade: 05

Division Name: Physician Network

I Accountability Objectives:

Supports Physician Network practice by creating a patient-centered experience when answering telephones, schedules

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

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.

Excellent customer service orientation skills necessary in order to deal effectively with various levels of

hospital personnel, outside customers and community groups.

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:

1 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.

2 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.

3 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.

4 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.

5 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.

6 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.

7 Answers telephones, routes calls to appropriate staff, takes accurate phone messages, and relays messages to

staff and physicians.

8 May perform filing for the practice which includes faxes, mail opened and distributed, reports, results,

messages. Files charts back alphabetically or numerically (site specific)

9 Participates in staff meetings, education, in-services, competence programs, process improvements projects

and quality improvement projects as necessary.

10 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.

11 Performs other duties as assigned.

Demonstrates and actively promotes an understanding and commitment to the mission of St. Joseph Mercy

Oakland through performing behaviors consistent with the Trinity Health Values.

Maintains a working knowledge of applicable Federal, State, and Local laws and regulations, the Trinity

Health Organizational Integrity Program, including the Standards of Conduct, Code of Ethics, as well as

other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and

professional behaviors.

Supports and conducts one's self in a manner consistent with customer service expectations.

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.