Medical Office Specialist

4 weeks ago


Baton Rouge, United States Baton Rouge General Full time
Description

ESSENTIAL JOB FUNCTIONS include, but are not limited to:

1. Answers telephone, greets visitors and schedules appointments.

PERFORMANCE STANDARDS:

• Courteously and professionally greets guests/answers phone calls and handles appropriately according to clinic protocols.

• Maintains master scheduling program for all areas and makes appointment schedules for all patients, via computer system according to established procedures.

• Coordinates transportation needs of patients as needed.

• Coordinates insurance coverage with patients, insurance company, and Business Office as indicated.

• Communicates special patient needs to appropriate staff.

2. Enters patient charges, completes chart maintenance and provides a variety of clerical support functions.

PERFORMANCE STANDARDS:

• Enters charges accurately on the same day it is incurred.

• Coordinates charge data functions according to established procedures.

• Types and proofs a variety of material (e.g., letters, forms, reports, etc.) from rough draft and corrected copies.

• Maintains accurate and current files of all patient records, correspondence, reports, and information, as required.

• Forwards completed discharged charts to Medical Records according to established procedures.

• Prepares patient folders and files patient information appropriately, copies charts as approved by Medical Records, faxes and files a variety of materials.

• Mails patient evaluations, progress notes, prescriptions, etc., and follows-up on all correspondence within defined time lines.

3. Performs billing functions to ensure proper billing and collections.

PERFORMANCE STANDARDS:

• Identifies and records required billing information according to insurance carrier requirements with 100% accuracy.

• Completes billing information accurately.

• Processes claims electronically with 100% accuracy and mails claims to insurance carriers daily.

• Enters documentation and adjustments through computer system to maintain a correct account balance.

• Updates system information daily according to correspondence received and processed.

• Documents any changes on a daily basis and submits information to appropriate personnel.

• Seeks clear directions to resolve issues and bring problems to a proper resolution.

4. Reviews and identifies charge discrepancies and completes requests for rebilling from inter-department personnel.

PERFORMANCE STANDARDS:

• Reviews charge summaries on each patient bill that is produced and identifies discrepancies.

• Completes rebilling within 10 days according to established rebilling procedures.

• Manually documents rebilling log upon completion with 100% accuracy.

5. Prepares daily production reports, maintains required records, reports, and files while evaluating account information.

PERFORMANCE STANDARDS:

• Monitors number of accounts and outstanding balances within three days of receiving report.

• Consistently applies appropriate procedures to prevent accounts from becoming delinquent or remaining unbilled.

• Initiates appropriate follow-up.

6. Performs all other duties as assigned.

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