What are the responsibilities and job description for the Office Specialist position at Roosevelt General Hospital and Clinics?
Position is located in the Clovis Clinic.
Job Summary
Under general supervision, is responsible for representing Roosevelt General Hospital (RGH) as an exemplary organization in the region. Office Specialists will be the embodiment of the organization's mission, vision and values. They will greet patients, families and guests upon arrival and assist them in navigating through all aspects of their hospital or clinic visit. The candidate will initiate the department process, inpatient admissions, and transfer paperwork; obtain and verify accurate identification and demographical data for the patient's permanent medical record and billing. They will coordinate clerical, registration / admission and communication for efficient and effective operations of the department. The candidate will be responsible for assisting patients with insurance options, setting up payment arrangements, collecting insurance co-payments and deposits; obtain comprehensive information to protect the patient's well-being and the financial interest of the institution. The position is responsible for coordinating any additional care the patient may need inside and outside of our facility. The position is responsible for obtaining prior authorization needed for testing or services.
Essential Functions :
- Registers patients efficiently and accurately, obtaining appropriate signatures, completing all required forms and providing patient information as required by state and federal regulations and departmental guidelines
- Visits patients in their room to complete or validate information
- Conducts financial screening of emergency room patients
- Collects deposits and co-pays when applicable
- Enters relevant information into computer system
- Sets up payment arrangements with self-pay patients
- Assists patients with questions concerning their insurance coverage
- Advises self-pay patients of their medical and dental care options available in the community for future follow-up care
- Explains hospital / clinic regulations, such as visiting hours, payment of accounts, charges, etc.
- Participates in data gathering for financial reporting
- Cross-train to cover admissions clerk
- Greet all patients, families and hospital visitors with a positive, cheerful attitude
- Uphold the mission, vision and values of organization
- Be knowledgeable on all of RGH's services
- Serve as the main communications person for the department, answering and placing phone calls, taking and relaying messages for clinical staff
- Initiates, maintains, and updates department logbook, patient charts, and other forms (diagnostic requests, workman comp, etc.) originating in the department with accuracy; accesses patient data for nursing and medical staff as needed.
- Admits patients to inpatient status at time of admission
- Ensures department is adequately stocked with necessary clerical supplies, forms, etc. and maintains a neat and orderly work area
- Notifies the client of appointments scheduled, makes follow-up calls to off-site providers to ensure that client kept appointment and reminds provider to submit a Consultation Report
- Maintains competency in obtaining and inputting medical information to and from clinical and / or other information systems including accessing information as required to complete the referral process
- Screen and schedule incoming referrals
- Obtain prior authorization for diagnostic services and procedures
- Establish and maintain relationships with identified service providers
- Utilizes software to code ICD-9 and CPT codes
- Provide basic coverage for Medical Assistant (vitals and rooming patients)
Non-Essential Functions
Professional Requirements
Qualifications
Knowledge, Skills, and Abilities
Physical Requirements and Environmental Conditions
