Medical Office Receptionist Prior Authorizations

3 weeks ago


Cottonwood, United States Northern Arizona Healthcare Full time

Overview:

The Medical Office Receptionist undertakes a variety of day-to-day office and clerical tasks to ensure that office operations run smoothly and are successful in supporting other business activities. The Medical Office Receptionist obtains insurance information, collects payments and works with the scheduling system as well as acts as an interdepartmental staff liaison between staff, providers and customers to ensure professional service and promote customer relations. The Medical Office Receptionist is able to function with minimal supervision and demonstrates appropriate decision making skills within established guidelines, maintains strict confidentiality, and utilizes discretion at all times.


This position's work location is on site only.

Responsibilities:

Administrative
* Answers multi-line telephones, operates and troubleshoots photocopiers, uses a variety of office equipment and operates computer ordering system (including utilization or audit of time edit functions).

* Secures, sorts, opens, and distributes forms, mail, communications, office supplies and office equipment.

* Provides backup coverage for other support staff, ensuring completion of assignments. Prioritizes and completes special projects as assigned.

* Coordinates and maintains efficient office operations.

* Maintains scheduling system so records are accurate and complete and can be used to analyze patient/staffing patterns.

* Maintains reports involving patient scheduling (i..e, Tele Vox).

* Trains and orients appropriate office staff on front office responsibilities.

* Inventories and reorders necessary equipment/supplies, maintains inventory of necessary floor stock items (varies by location).


Patient Experience
* Anticipates and promptly responds to customer needs.

* Actively listens to the people we serve and co-workers. Responds promptly, reliably and in an understandable manner.

* Provides prompt and courteous service and communicates when service is delayed.

*Prevents, calms or diffuses irate callers and patients by working with them to identify concerns and properly direct calls or solutions.


Finance and Insurance Authorization
* Checks patient insurance eligibility, updates demographics.

* Processes varied types of payments from patients including but not limited to co-pays, deductibles and co-insurance.

* Performs end of day reconciliation and corrects billing errors using programs including BOS.

* Gathers and processes patient forms necessary to gain authorization for department visits, tests, labs, and procedures-ECT, TMS (varies by location).

* Knowledge of legal and ethical considerations related to patient information.

* Ensures appropriate consent for care and authorization to obtain or release information are obtained.


Communication
* Prepares and distributes departmental communications to internal staff as directed.

* Develops and maintains distribution lists for various communications.

* Maintains rapport with customers, managers and employees; set priorities to maintain work flow.

* Uses appropriate medical terminology and organization services.

* Communicates with providers and their staff as needed about any patient concerns/issues related to scheduling.

* Consults with clinic leadership about any system problems.

* Maintains continuity of work and operations by documenting and communicating needed actions to management, discovering irregularities, and determining continuing needs.


Compliance/Safety
* Responsible for reporting any safety related incident in a timely fashion through the Midas/RDE tool; attends all safety related training programs; performs work in a safe manner; monitors work environment for possible safety issues and ensures others are also performing work in a safe manner.

* Stays current and complies with state and federal regulations/statutes and company policies that impact the employees area of responsibility.

* If required for position, ensures all certifications and/or licenses are up-to-date and valid prior to expiration dates.

* Completes all company mandatory modules and required job specific training in the specified time frame.

Qualifications:

Education
High School Diploma or GED - Required

Associate's Degree - Preferred


Certification & Licensures
Fingerprint Clearance Card application number- Required upon hire

Fingerprint Clearance Card- Required within 90 days from date of hire


Experience
Minimum two years in medical or comparable field - Preferred

Minimum two years of customer service experience - Preferred

Previous experience with Dimensions, Lawson, Halogen, Midas, Microsoft Office Suite - Preferred



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