Surgery Scheduler/Receptionist/ Biller

JOB SUMMARY

Ensures accuracy of data entry of daily charges to include implants as well generates electronic and paper insurance claims, patient statements and performs collection of outstanding insurance or patient balances.

Reports To:

Business Office Manager Supervises:

None Classification:

Non-Exempt

QUALIFICATIONS

High School Diploma preferred. Minimum two years experience in medical billing/surgery scheduling preferred. Knowledge of medical billing/collection practices preferred. Experience in a surgical facility preferred. Proficient in MS Office applications which include Outlook, Word, Excel and PowerPoint. Flexibility to adjust work schedule as needed to coordinate and accommodate changes with case schedules.

OCCUPATIONAL EXPOSURE

Office Environment

RESPONSIBILITIES

Scheduling:

Considers priorities and special needs when scheduling preoperative appointments and surgical procedures. Schedules appointments and procedures according to policies on nursing and anesthesia staff availability, patient needs and physician's block time. Coordinates surgical preoperative appointment schedule with clinical preoperative activates. Maintains schedule according to procedure and physician's time and staffing requirements. Coordinates schedule assessing time and equipment availability; identifies conflicts and adjusts schedule as needed. Prepares appointment schedule and Surgery Schedule for review by the Operating Room Supervisor so that adjustments may be made as required. Assumes clerical duties and responsibilities as necessary. May open and distribute mail according to Facility policy. May prepare bank deposits following Facility cash controls. Coordinates obtaining diagnostic tests and places diagnostic test reports in appropriate section of patient medical record. May perform duties of the admitting Receptionist and/or Biller as needed. Insurance Verifications/Pre-Certification Responsibilities Act as liaison between patient, physician office, and insurance company to assist patients with regards to financial responsibility. Notify all scheduled patients of their financial responsibility prior to their date of service. Verify patient insurance eligibility and benefits using technology tools, the telephone and the internet to ensure compliance with the facilities policies and procedures. Coordinate with insurance providers and the physician office to obtain pre-authorizations. Document the authorizations in the system patient accounts. Obtain information for medical necessity determination and coordinate with the physician office if additional information is needed. Communicate with patients to obtain any missing information necessary to achieve financial clearance. Perform Benefit verifications on all new patients. Obtains and verifies patient demographic and financial information

Registration:

Admits patients to the Facility following the established policies and procedures. Assembles patient medical record forms and prepares patient identification. Assists Medical Billing Specialist in obtaining pertinent information to register patient and attaches proper means to document patient identity. Provides pertinent information to the patient's family in the waiting area according to policies and procedures. Monitors waiting area. Coordinates reception area activities for effective communication with all areas of the Facility. Answers telephone and intercom courteously and in a quiet, pleasant voice. Accepts and relays messages effectively. Informs physician's office of admissions and activities concerning admissions. Maintains and protects each patient's right to confidentiality. Identifies emergencies and initiates appropriate response. Assumes clerical duties and responsibilities as necessary. Assists in ordering and stocking supplies. Maintains order and cleanliness of the front desk. Prepares bank deposits following Facility cash controls as requested. Coordinates obtaining diagnostic tests and places diagnostic test reports in appropriate section of patient medical record. Medical Records Responsibilities Check each medical record for completeness, marking and attaching a deficiency slip as needed. Performs release of information functions as necessary, per facility policy, state and federal regulations, and HIPAA guidelines. Maintain a log of record requests received, processed, and mailed out. Assist Medical Staff with completion of medical records. Other duties as assigned.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job the employee is frequently required to sit, converse, and listen; use hands to touch, handle, or feel objects, tools or controls; and to reach with hands and arms. Specific vision abilities required by this job include close vision and the ability to adjust focus. The employee must be able to lift and/or carry over 20 pounds on a regular basis and be able to push/pull over 25 pounds on a regular basis. The employee must be able to stand and/or walk at least five hours per day.

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Job Type:

Full-time Pay:

$18.00 - $23.00 per hour

Benefits:

401(k) 401(k) matching Dental insurance Disability insurance Employee assistance program Flexible spending account Health insurance Health savings account Life insurance Paid time off Vision insurance

Education:

High school or equivalent (Required)

Experience:

Customer service: 2 years (Preferred) Medical terminology: 2 years (Preferred)

Medical Office:

2 years (Required)

Surgery Scheduling:

1 year (Required)

Work Location:

In person