POSITION SUMMARY

• Responsible for accurately scheduling, obtaining/verifying patient information, appropriate documentation, and serving as the communication link between the patient, the provider and the other clinic departments or agencies involved in the patient's care.

  POSITION QUALIFICATIONS

• Education and Experience:

• Prefer High School Diploma or equivalent. Prefer completion of Health Care Administrative Specialist or similar program or comparable experience in a health care facility. Successful completion of data entry and general clerical standards as administered by Cuyuna Regional Medical Center Human Resources Staff.

• License/Certificates:

• N/A

• Special Skills and Aptitudes:

• Effective Interpersonal relationships skills including good listening and communication skills.

• Ability to handle confidential information discreetly and appropriately.

• Ability to adapt resources to meet the needs of the situation.

• Exercise good judgment, flexibility, creativity and insight to problem solving.

• Adjust to stressful situations with confidence and good judgment.

• General knowledge of insurance/insurance verification and/or medical necessity.

• Basic knowledge of medical terminology.

• Excellent customer service and telephone etiquette.

• Ability to work independently.

• Ability to multi-task.

• High quality customer service.

  ESSENTIAL RESPONSIBILITIES

• Scheduling and Documentation

• Accurately schedules patient appointments according to schedule guidelines and provider preferences including clinic day/hours, appointment types, allotted time slots, restrictions and orders.

• Inform and instruct patients on procedure/appointment preparation.

• Obtain and maintain accurate electronic medical record (EMR) including verification of demographic information, insurance information and any documentation entered.

• Process physician orders as requested.

• Timely monitor and address all work queues and tasks that need to be completed.

• Provide clerical support for the department, providers and staff.

• Communication/Customer Service

• Answer all incoming phone calls in a timely, customer services friendly, and professional manner to assist callers with scheduling needs and is a liaison between the patient and the clinical staff.

• Collaborate with all other departments and any outside entities to ensure accurate scheduling and continuation of care for the patient.

• Participate as requires in continuous improvement activities to enhance the quality of patient care.

• Collaborate with patients, providers, staff, and outside entities, and staff for referral, prior authorization, and coordination or care.

• Greet and acknowledge patients, family members and all staff in a friendly and courteous manner.

• Patient Registration/Insurance Verification/Cashier

• Update patient information including demographics, insurance information, patient authorization and other paperwork per protocols.

• Verify insurance coverage through proper portals and established procedures.

• Communicate appropriately with providers and staff in supported departments.

• Monitor no-shows/late cancellations and take action per set policies.

• Collect co-pays and patient payments based on location.

• Demonstrate accuracy in writing receipts, processing credit-card payments and balancing cash drawer/bag based on location.

• Communicate with and direct patients to Financial Services to arrange for payment plans and to assist with billing questions.

• Assist providers and nursing staff to make schedule adjustments and changes.

• Process referral requests and monitors work queues.

• Enter telephone encounters and complete assigned tasks in EMR.

• Demonstrate "Standards of Excellence" when other duties are assigned.