Education

High School or GED equivalency

Experience

3 years directly related experience

Skills

• Knowledge of all HMO’s, PPO’s, Medicare, BC/BS and commercial restrictions in addition to department carve outs. 
• Working knowledge of capitated verses fee for service restrictions. 

• Knowledge of CPT & ICD9 codes and medical terminology
• Skill in using computerized medical record system, (scheduling, registration, billing) and personal productivity applications
• Skill in written and oral communication
• Skill in performing non-complex arithmetic calculations
• Ability to manage multiple tasks and deadlines.

Physical Requirements

• Ability to concentrate and pay close attention to detail. Ability to sit for long periods of time.

Working Conditions

• Normal office environment with little exposure to noise, dust, and the like.

Principal Duties and Responsibilities:

• Oversees and coordinates all facets of day-to-day operation of the reception area of the department, including reporting, workflow, staffing, and equipment and supply maintenance.

• Maintains multifaceted computerized scheduling and billing system. Schedules patient appointments and performs (pre) registration duties.
• Ensures completeness of physician charge sheets, verifies patient insurance information, and ensures appropriate CPT & ICD9 codes are on charge slips. 
• Codes lab requisitions with necessary patient data for proper processing and charging of lab work.
• Receives and screens visitors and telephone calls.  Responds to general inquiries by relating or referring to established policies and procedures. Provides customer service to patients by relaying information about the Medical Center, reminding patients of appointments, and acts as a resource for patient inquiries related to Part A and or Part B fees
• Assumes responsibility for all Part A, Invision and or Part B billing functions in SMS Signature within 24 hours from date of service.
• Types and formats a variety of documents such as letters, memoranda, reports, meeting minutes, and forms from rough drafts, using a variety of software applications, and proofreads work product for typographical errors, spelling, grammar, and punctuation.
• Performs a variety of clerical tasks in support of office operations such as running errands, performing copy work and assembling documents, ordering supplies, and preparing bulk mailings.
• Assists in preparing and administering office accounts and records, and posts information accurately to records, logs, accounts, or ledgers, according to established procedures.
• Under supervision of the manager, assumes responsibility for front desk staffing issues; ensures adequate and appropriate staffing is maintained.
• Under supervision of the manager, trains and orients new employees and monitors their progress.
• Provides feedback for and assists in completion of employee performance management evaluations.
• Maintains detailed files of physicians’ licensures; i.e. DEA, state medical license, and state drug control license.  Ensures timely renewal to avoid expiration.
• Maintains physician credentialing with hospitals and insurance companies.  Avoids lapses in coverage.

• Prepares request for release of medical records and collections appropriate fees.

All roles must demonstrate GBMC Values:

Respect

I will treat everyone with courtesy. I will foster a healing environment.

• Treats others with fairness, kindness, and respect for personal dignity and privacy
• Listens and responds appropriately to others’ needs, feelings, and capabilities

Excellence

I will strive for superior performance in every aspect of my work. I will recognize and celebrate the accomplishments of others.

• Meets and/or exceeds customer expectations
• Actively pursues learning and self-development
• Pays attention to detail; follows through

Accountability

I will be professional in the way I act, look and speak. I will take ownership to solve problems.

• Sets a positive, professional example for others
• Takes ownership of problems and does what is needed to solve them
• Appropriately plans and utilizes required resources for various job duties
• Reports to work regularly and on time

Teamwork

I will be engaged and collaborative. I will keep people informed.

• Works cooperatively and collaboratively with others for the success of the team
• Addresses and resolves conflict in a positive way
• Seeks out the ideas of others to reach the best solutions
• Acknowledges and celebrates the contribution of others

Ethical Behavior

I will always act with honesty and integrity. I will protect the patient.

• Demonstrates honesty, integrity and good judgment
• Respects the cultural, psychosocial, and spiritual needs of patients/families/coworkers

Results

I will set goals and measure outcomes that support organizational goals. I will give and accept help to achieve goals.

• Embraces change and improvement in the work environment
• Continuously seeks to improve the quality of products/services
• Displays flexibility in dealing with new situations or obstacles
• Achieves results on time by focusing on priorities and manages time efficiently

Pay Range

Final salary offer will be based on the candidate's qualifications, education, experience and alignment with our organizational needs.

Equal Employment Opportunity

GBMC HealthCare and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.