Full Time 40 hours Grade 007 OPD Pediatrics Schedule 8:30 AM-5 PM; ROT WEDNESDAY EVENINGS AND SATURDAY MORNINGS Responsibilities Position Summary: Providing high degree of customer service and clerical support to large Pediatric Practice and coordinates functions associated with patient information processing for ambulatory care visits. Acts as a resource to faculty and staff. Outpatient Access Specialist works closely with other Outpatient Access Specialists and associated medical providers processing approximately 16,000 patient visits annually. Monitors and ensures that all functions are completed in an accurate, efficient and customer friendly manner. Responsibilities: Appointment Scheduling Schedules new and follow up appointments for multiple clinics and providers using Flowcast.Monitors schedules, identifies, resolves and reports problems. Coordinates appointments for ancillary testing, procedures or referrals to other clinic sites, follows-up missed appointments and cancellations, completes any correspondence or forms involved with appointment scheduling, schedules interpreters, schedules outside services to meet patientâ™s needs (e.g., transportation), ensures patient satisfaction with visit prior to discharge from the Department. Identifies and proposes efficiencies for streamlining clinics and scheduling and patient flow. Reception & Registration Reception Greets patients to initiate positive ambulatory experience, identifies healthcare provider to be seen, directs patients to next destination, obtain signatures as needed (e.g., for insurance forms), identifies and assesses patientsâ™ special needs (e.g., interpreters). Provide constant vigilance of waiting area ensuring no patient waits unduly long providing communication between Control Station and the patient if there is a delay to patientâ™s appointment time. Hand out patient satisfaction surveys twice monthly and facilitate in keeping waiting area and restrooms clean. Registration Provide accurate registration collect patient demographic and financial information of patient arrivals in Flowcast in an efficient, customer oriented manner. Confirming patient insurance and demographic information following protocol for updating Flowcast information, distributing questionnaires when appropriate and collect co-payments following protocol for the collection of co-payments. Monitors registration errors, completes missing registration data, reconciles and ensures accuracy of patient information to ensure reduction in billing rejections.Identifies ways to reduce follow-up, repetitive, or corrective work. Using Flowcast print daily schedules and complete patient packets. Organizes in respective folder. Notify Control station of all infection controlled flagged patients scheduled for the day. Stock clipboards with appropriate questionnaires. Serves as a focal point for handling patient issues and serves as front-line problem solver. Telephone Management Responsible for courteous and efficient telephone communications.Manages incoming clinic calls, triages calls to medical staff when appropriate.Coordinates outgoing calls. Insurance Verification & Insurance Authorization Electronic Verification Using electronic verification systems accurately verify insurance information for future patient appointments at least one week prior to appointment. Following Flowcast protocols update Insurances and certify verification. Financial Management: Reconciles daily co-payment log sheets at the end of the day for each and balance cash drawer. Identifies and resolves discrepancies. Reconciles reports with encounter forms and ensure all charges are captured. Works directly with coders and billers to ensure billing is accurate. Provides support for unit activities including monitoring supplies, and escorting patients. Trains new staff; reviews competency, identifies areas of concern and proposes resolution to Administrator; directs work until staff meet requirements. Coverage Provides cross coverage for other staff members on the unit. Other Clerical Duties Performs miscellaneous tasks as assigned by the Supervisor such as medical records management, maintains logs and census reports. Qualifications: High School diploma and 2.5 years related work experience; or an equivalent combination of education and experience. Medical terminology experience preferred. Demonstrated ability to word process documents and enter data into a database. Demonstrated skills related to achievement of customer satisfaction. Demonstrates the ICARE values to patient, families and staff. Ability to act as a resource to less experienced staff. High degree of professionalism with excellent communication and strong customer service skills required. Demonstrates efficiency in prioritizing assignments, skill in proactively resolving problems and recommending and implementing continuous quality improvements. Demonstrated skill and efficiency in Flowcast Web, e-Record and electronic insurance verification procedures. Demonstrated efficiency in prioritizing assignments and skill in proactively resolving problems. Ability to work independently and with minimal direction in a fast-paced environment required.
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