POSITION SUMMARY

Responsible for accurately scheduling, obtaining / verifying patient information, appropriate documentation, and serving as the communication link between the patient, the provider and the other clinic departments or agencies involved in the patient's care.

POSITION QUALIFICATIONS

• Education and Experience :
• Prefer High School Diploma or equivalent. Prefer completion of Health Care Administrative Specialist or similar program or comparable experience in a health care facility.

Successful completion of data entry and general clerical standards as administered by Cuyuna Regional Medical Center Human Resources Staff.

• License / Certificates :
• N / A
• Special Skills and Aptitudes :
• Effective Interpersonal relationships skills including good listening and communication skills.
• Ability to handle confidential information discreetly and appropriately.
• Ability to adapt resources to meet the needs of the situation.
• Exercise good judgment, flexibility, creativity and insight to problem solving.
• Adjust to stressful situations with confidence and good judgment.
• General knowledge of insurance / insurance verification and / or medical necessity.
• Basic knowledge of medical terminology.
• Excellent customer service and telephone etiquette.
• Ability to work independently.
• Ability to multi-task.
• High quality customer service.

ESSENTIAL RESPONSIBILITIES

• Scheduling and Documentation
• Accurately schedules patient appointments according to schedule guidelines and provider preferences including clinic day / hours, appointment types, allotted time slots, restrictions and orders.
• Inform and instruct patients on procedure / appointment preparation.
• Obtain and maintain accurate electronic medical record (EMR) including verification of demographic information, insurance information and any documentation entered.
• Process physician orders as requested.
• Timely monitor and address all work queues and tasks that need to be completed.
• Provide clerical support for the department, providers and staff.
• Communication / Customer Service
• Answer all incoming phone calls in a timely, customer services friendly, and professional manner to assist callers with scheduling needs and is a liaison between the patient and the clinical staff.
• Collaborate with all other departments and any outside entities to ensure accurate scheduling and continuation of care for the patient.
• Participate as requires in continuous improvement activities to enhance the quality of patient care.
• Collaborate with patients, providers, staff, and outside entities, and staff for referral, prior authorization, and coordination or care.
• Greet and acknowledge patients, family members and all staff in a friendly and courteous manner.
• Patient Registration / Insurance Verification / Cashier
• Update patient information including demographics, insurance information, patient authorization and other paperwork per protocols.
• Verify insurance coverage through proper portals and established procedures.
• Communicate appropriately with providers and staff in supported departments.
• Monitor no-shows / late cancellations and take action per set policies.
• Collect co-pays and patient payments based on location.
• Demonstrate accuracy in writing receipts, processing credit-card payments and balancing cash drawer / bag based on location.
• Communicate with and direct patients to Financial Services to arrange for payment plans and to assist with billing questions.
• Assist providers and nursing staff to make schedule adjustments and changes.
• Process referral requests and monitors work queues.
• Enter telephone encounters and complete assigned tasks in EMR.

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Last updated : 2024-06-20