Under general supervision of the Supervisor, the Medical Receptionistis responsible for timely and accurate scheduling, insurance eligibility and verification, referrals and authorization, point of service collection, etc. Supports the providers and clinicians by handling all telephone calls in to the clinic, provides excellent service to patients and visitors to ensure the integrity of clinical care and promote patient safety. These duties, performed according to established policy and procedure, result in a positive clinic experience for patients and providers, and ensure the success of the revenue cycle.
- Schedules and inputs all appointments in the scheduling module in a timely and efficient manner. Manages cancellations and additions to schedule in accordance with established parameters.
- Ensures all pre-visit activities are scheduled or completed.
- Professionally greets all patients and visitors, obtains patient identification and insurance information to initiate admissions process. Completes registration according to established protocol, ensuring the integrity of the patient's record Ensures appropriate signatures are included on all necessary forms in accordance with HMH policies and procedures.
- Assemble, file and maintain patient medical records and financial records in a confidential and secure manner. Print patient schedule and pull patient charts daily.
- Complete front-end process of billing procedure ensuring all information is entered into the computer registration module. Flags patient accounts as necessary for past due balances, incorrect demographics, and other critical notifications as needed.
- Performs Insurance Verification process and completes all required processes for prior authorizations or other actions required by payor. Confirms that insurance documentation, eligibility and verification, and referral/authorization requirements are met.
- Ensures accuracy when scanning and filing documents and completes within 24 hours of completed visit, including physician reports to referral sources.
- Communicates all changes in patient information and insurance which is identified during patient visit to appropriate internal parties and directly to the patient record immediately.
- Calculates patient cost and performs point of service collection in accordance with upfront collection policy and procedure, collecting self-pay portions, co-payments, and past due patient portions at the time of check in; all other collections to be collected at discharge.
- Maintains cash drawer in accordance with established procedures. Participates in the daily reconciliation of cash collected and daily deposit as assigned.
- Maintains a clean and orderly waiting area and workspace. Performs office open and close tasks as assigned (lights, equipment, door locks, etc.). Cordially greets patients immediately upon their arrival. Courteously answers telephone calls by the third ring. Delivers accurate messages in a timely manner.
- Follows guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI).
RequirementsEducation: High school diploma or GED required.Experience: None required. Three years prior hospital or physician office experience preferredRequired Skills: Excellent computer skills, oral and written communication and customer service skills. Critical thinking ability to effectively facilitate interactions with physicians, healthcare team members, payers, patients and families. Ability to prioritize work in a fast paced environment with minimal supervision.Benefits
- Health Care Plan (Medical, Dental & Vision)
- Retirement Plan (401k, IRA)
- Life Insurance (Basic, Voluntary & AD&D)
- Paid Time Off
- Short Term & Long Term Disability
- Training & Development
- Wellness Resources