Medical Secretary
4 days ago
Under indirect supervision, provides clerical support to the department; diverse duties requiring knowledge of office management systems and procedures. Clerical duties may be assigned in accordance with the office procedures of individual departments and may include a combination of answering telephones, posting charges, adjustments and payments, typing or word processing, office supply ordering, office equipment operations, research, billing and filing.
Essential Responsibilities:
1. On a daily basis, screen all potential COBs and verify eligibility and obtain billing requirements from primary insurance. 2. Analyze by interpreting benefits, exclusions and reimbursement levels of primary and secondary insurance carriers. 3. Obtain pre-certification and/or authorizations. Coordinate with local facilities to ensure review through Utilization Management. 4. Daily maintain and update all departmental and mainframe databases. 5. Create Accounts Receivable accounts for local facilities. 6. Analyze Explanation of Benefits, receipts of any out-of-pocket expenses, determine appropriate reimbursement and requests to Accounts Payable, maintains B.R. bank. 7. The Medical Secretary performs all duties currently performed by the Clerk and posts charges, payments and adjustments as related to non-patient revenue. 8. Sort/route/package documents to and from storage. 9. Provide patient/visitor reception. 10. Respond to requests for information; distributes documents to the requestor. 11. Organize, monitor and maintain departmental files, records, handbooks and manuals. 12. Answer and screen departmental telephone calls; responds and expedites requests; takes messages. 13. Schedule and verify appointments for physician referrals. 14. Track cases sent for physician review. 15. Insure that medical record/chart information is available to the appropriate staff. 16. Receive and batch documents for data entry. 17. Complete and organize standard forms and documents. 18. Order, maintain, receive and store departmental supplies; corrects discrepancies. 19. Receive, review, sort and distribute incoming mail. 20. Maintain departmental logs. 21. Perform data entry. 22. Insure medical record information is accurate. 23. Compile department statistics and prepare reports and charts. 24. Complete health related forms using ICD9/CPT codes provided to them. 25. Research complaints and problems. 26. Prepare narrative reports from patient medical records. 27. Prepare and scan all required documents. 28. Perform cashier functions related to non-patient revenue. 29. Schedule pre-ops, admissions and transfers. 30. Prepare physician/supervisor schedules. 31. Act as a resource for other employees. 32. Research and resolve assigned HealthConnect work queues. 34. Perform other related duties as assigned including special projects.
Basic Qualifications:
Experience
High School Diploma/GED Minimum of three (3) years of relevant clerical experience such as but not limited to posting charges, adjustments and payments Ten key by touch Ability to use a computer keyboard to perform assigned duties. Knowledge of PC and Office applications Able to read, write and follow oral and written instructions. Type 45 wpm.
Education
License, Certification, Registration
- N/A
Additional Requirements:
Notes:
- This is an on call position, days and hours may vary.
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