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MEDICAL CENTER REP

Medical Center Rep

Albany, GA

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    Job Number:
    33704
    Location:
    Phoebe Putney Memorial Hospital
    Address:
    417 W 3rd Ave
    Albany, GA
    Postal Code:
    31701
    Shift:
    Days (United States of America)
    Job Type:
    Full time

Medical Center Rep

Location: Albany, GA
Job ID: 33704

Qualifications

  • High School Diploma or GED (Required)

Work Experience

  • 1 year of medical office experience is required (Preferred)
  • 1 year experience with CPT and ICD-9 insurance coding (Preferred)
  • 1 year of customer service experience (Required)

Licenses and Certifications

  • No Certifications are Required or Preferred

Essential Functions

PATIENT FLOW AND DATA COLLECTION

  • Maintain patient flow and collect necessary data.
  • Manage patient flow to ensure that the patient is seen quickly and all information is available for treatment.
  • Create patient medical record folder for new patients and prepare medical record for use during physician visit.
  • Collect data as assigned such as vital signs, height, weight, etc.
  • Manage medical records through established filing system.
  • Handle document management including, but not limited to transcription, incoming mail, diagnostic reports, copy requests, etc., to ensure data is available as needed to provide patient care.
  • Inquire of established patients if all information currently in the database is correct.
  • Take appropriate actions to ensure patient is informed of scheduled appointment.
  • Collect data as assigned such as vital signs, height, weight, etc. which applies to specific departments.

COORDINATE PATIENT PAYMENTS

  • Collect, post and investigate patient payments in accordance with contractual agreements and financial obligation of the patient.
  • Inform or pursue patient co-pays and other patient responsibilities at the date of service.
  • Operate the computer to enter patient charges at time of completed services in a manner that will ensure accurate patient and insurance billing.
  • Accurately deposit or post all payments to appropriate cost center accounts in agreement with the explanation of benefits per departmental specifics.
  • Perform all necessary actions to ensure all respective insurance information is obtained and documented appropriately.
  • Accurately monitor or file all secondary insurance, workers compensation insurance and corporate services insurance claims in a timely manner.
  • Perform a methodical review of explanation of benefits and follow all denials and delinquent pending claims.
  • Investigate all patient billing inquiries.

BUSINESS OFFICE FUNCTIONS

  • Perform all business office functions for the medical clinic.
  • Screen and refer all incoming calls and visits to ensure that accurate and timely communications are facilitated and that the Center is always presented in a positive manner.
  • Inquire into the physician's orders for next visit and schedule the patient's next appointment.
  • Attach all transcription notes to the medical record and file all charts in a timely and appropriate manner.
  • Enter into the database all information received from the change of address forms received from the post office in a timely manner.
  • Assist in stocking, care and maintenance of department equipment and supplies.
  • Use proper procedures to inform management of defective office equipment.
  • Document all maintenance and repair to office equipment.
  • Prepare financial reports for respective area.
  • Take meeting minutes in accordance with department and hospital guidelines.

DOCUMENTATION

  • Document and submit required information and data in a timely fashion.
  • Clearly and accurately document designated processes, policies, products, service offerings, etc.
  • Ensure that documentation is tailored to expected readers/users.
  • Use correct terminology.
  • Conform to required style and format.

Additional Duties

  • Adhere to the hospital and departmental attendance and punctuality guidelines.
  • Perform all job responsibilities in alignment with the core values, mission and vision of the organization.
  • Perform other duties as required and complete all job functions as per departmental policies and procedures.
  • Maintain current knowledge in present areas of responsibility (i.e., self-education, attend ongoing educational programs).
  • Attend staff meetings and complete mandatory in-services and requirements and competency evaluations on time.
  • Demonstrate competency at all levels in providing care to all patients based on age, sex, weight, and demonstrated needs.
  • For non-clinical areas, attend training and demonstrate usage of age-specific customer service skills.
  • Wear protective clothing and equipment as appropriate.

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