Receptionist & Insurance Clerk - Specialty Clinics

Description

ORGANIZATIONAL DESCRIPTION

The receptionist is responsible for checking patients in/out, scheduling appointments, taking payments, answering the phone, filling charts, and other related duties. The clerk is also responsible for entering data in the computer and helping in other areas when needed.

INTERACTION

Primarily Interacts with: administration, physicians, employees, clinical and non-clinical departments, patients, and visitors.

PRIMARY FUNCTIONS

• Cordially greet and assist patients and visitors.
• Arrange patient appointments for providers.
• Ensure accurate information is obtained for billing, coding, authorizations, referrals, and patient visits.
• Answer telephone calls and take messages when appropriate.
• File patient charts and prepare medical records for mailing.
• Pull and prepare patient charts for the next day.
• Maintain and order office supplies as needed.
• Provide exemplary customer service.
• Maintain confidentiality and compliance with HIPAA.
• Cooperate with other personnel to achieve departmental objectives and maintain good employee relations, inter-departmental objectives and infection control policies.
• Cordially demonstrate timeliness and professionalism in appearance, communications, and actions during all interactions and with all individuals and entities.
• Solve practical problems, dealing with a variety of issues, and interpret a variety of instructions furnished in written and oral form.
• Attend meetings as required.
• Perform other duties as requested or assigned.

Requirements

ABILITY TO USE EQUIPMENT, TOOLS, MATERIALS, MACHINES: Computer, telephone, facsimile machine, copier, scanner, printer, calculator and other standard office equipment.

EDUCATION/EXPERIENCE/SKILLS/ABILITIES

Education:

• High School Diploma or equivalent required.

Experience:

• One-year customer service experience required.
• Medical office or healthcare experience preferred.

Personal Job Related Skills / Abilities:

• Must be committed to quality and patient safety at all times.
• Excellent command / highly proficient in spoken and written English; bilingual in Spanish preferred.
• Basic computer skills, including but not limited to: Microsoft Office, electronic medical documentation, and email.
• Must be effective at adjusting to change, prioritizing duties, handling stress and effectively communicating face-to-face and/or over the telephone.
• Must be able to work independently, and flexibly, and as a part of a multidisciplinary team.
• Must be able to manage several interruptions throughout the shift.
• Must have strong interpersonal and communication skills, verbal and written.
• Must have strong time management skills.
• Must be able to work under pressure while interacting in a helpful, courteous manner with a high degree of patient contact.
• Sufficient hearing, vision and dexterity to perform duties safely.

Physical and Mental Requirements:

Physical:

Activity Up to %

• Walking: 25
• Squatting: 10
• Standing: 25
• Pulling: 10
• Kneeling: 10
• Reaching: 35
• Sitting: 80
• Lifting up to 35lbs: 20
• Pushing: 10
• Wrist/Finger Movements: 90
• Bending: 25
• Climbing: 10

Mental:

• Stress Level Low to Moderate

Individual position core competencies:

• Quality
• Service Excellence
• Compassion
• Professionalism
• Fiscal Responsibility

Required education within first 60 days (if employee is from outside organization).

• GrahamRMC Orientation
• Department Orientation

Continuing/Annual Education and Training:

• As needed to maintain certification/ licensure of position
• Falling Star Program
• Safety Storm Program

SUPERVISION

Employees Supervised: __No__

ADA REQUIREMENTS

Each category is grouped under a percentage rating based on the frequency the condition is expected to occur.

Frequency of Condition 1-33% 34-66% 67%

1-33%

• Extreme Heat
• Extreme Cold
• Extreme Swings in Temperature
• Extreme Noise
• Working Outdoors
• Working Indoors
• Mechanical Hazards
• Electrical Hazards
• Explosive Hazards
• Fume/Odor Hazards
• Dust/Mite Hazards
• Chemical Hazards
• Toxic Waste Hazards
• Radiation Hazards
• Wet Hazards
• Heights
• Other Conditions

67%

• Working Indoors

OSHA Classification:

Identify with a check the OSHA Job Category that describes this job. The intent is to enhance worker protection by identifying any risk in the performance of routine and reasonably anticipated job-related functions.

_____ Category I: Tasks that involve exposure to blood, body fluids or tissues.

All procedures or other job-related tasks involve an inherent potential for mucous membrane or skin contact with blood, body fluids or tissues or a potential for spills or splashes of them are Category I tasks. Use of appropriate protective measures, such as gloves, masks, goggles, and gown are required for every employee engaged in Category I tasks.

__X__ Category II: Tasks that involve no exposure to blood, body fluids or tissues but employment may require performing unplanned Category I tasks.

The normal work routine involves no exposure to blood, body fluids or tissues, but exposure may be required as a condition of employment. Appropriate protective measure, such as gloves, masks, goggles, and gown are readily available to every employee engaged in Category II tasks.

_____ Category III: Tasks that involve no exposure to blood, body fluids or tissues and Category I tasks are not a condition of employment.

The normal work routine involves no exposure to blood, body fluids or tissues (although situations can be imagined or hypothesized under which anyone, anywhere might encounter potential exposure to body fluids). Persons who perform these duties are not called upon as part of their employment to perform or assist in emergency medical care or first-aid or to be potentially exposed in some other way. Tasks that involve handling implements or utensils, use of public or shared bathroom facilities or telephone and personal contacts such as handshaking are Category III tasks.

ADDITIONAL INFORMATION

The employee will demonstrate continuous commitment to the maintenance of a clean and safe work environment that is compliant with applicable regulatory agency requirements. The employee will follow established infection control procedures.

The employee will ensure the effective and safe use of all equipment used in his/her activities, if applicable.

The competence of the employee in performing his/her job duties is evaluated during orientation to his/her position and will be demonstrated, maintained, and improved on an ongoing basis. The employee will adhere to the assigned schedule and report to work on-time.

The employee shall abide by the requirements set forth in the Code of Conduct and report suspected violations of the Code of Conduct.

The employee will recognize, appreciate and incorporate an employee’s, patient's and patient’s family's unique differences, such as culture, spiritual beliefs, gender, race, ethnicity, lifestyle, socioeconomic status, age, and values, into an individualized plan of care or plan of action.

The statements contained in this position description reflect the general duties considered necessary to describe the principal functions of the job as identified, and shall not be considered a detailed description of all the work requirements that may be inherent in the position. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice.

The job description does not constitute a contract of employment and the company or employee may exercise its employment-at-will rights at any time.