Department: Ambulatory-Imaging Breast Clinic
Status: Full-time, 40 hours per week, Exempt
Schedule: Monday-Friday, 8:00am-4:30pm

Job Summary:

The individual in this position is responsible for coordinating all the functions and activities related to patient access in the department including, but not limited to, front end customer service, accurate patient registration in the approved organization electronic scheduling and billing systems, on-site insurance verification and financial counseling, accurate Time-of-Service (TOS) payment collections, and the balancing of all TOS payments using the approved organization electronic scheduling and billing system Front Desk Module.

The person in this position supervises and directs the maintenance and ongoing monitoring of the patient health record in department. The person in this position is responsible for directing, organizing, planning and supervising the activities of personnel engaged in Patient Service activities, including those related to all revenue cycle related activities

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Primary Duties:

• Registration Process - Manages the entire patient registration process, including staff adherence with all established policies and procedures related to querying the Enterprise Access Directory (EAD) and obtaining complete demographic and insurance information for each patient appointment. Hires, regularly evaluates / mentors staff and counsels when appropriate. Ensures staffing is appropriate for clinic demand and makes recommendation to supervisor for staffing modifications as necessary.

• Scheduling Process - Manages the entire patient appointment scheduling process, including staff adherence with all established policies and procedures related to determining and accurately documenting the appropriate appointment type, provider, referral and/or authorization requirements, procedure orders, and other appointment specific requirements.

• Manages the scheduling of surgical cases, procedures and admissions for the Department, including staff adherence with GUH procedures and appropriate communication of GUH facilities, policies and instructions to patients and families.

• Manages and directs implementation and maintenance of the approved organization electronic scheduling and billing system patient scheduler system, including triaging referrals and/or orders to appropriate physician for care. Performs or insures the performance of all master scheduling functions including development and maintenance of master schedules. Performs or insures the performance of daily scheduling edits as necessitated by provider schedule changes.

• Patient Arrival / Check-in & Check-out Processes - Manages the patient check-in and check-out process for Department including patient reception, validation of patient identity, scanning of patient documents to the appropriate system, resolution of all alerts for missing or inaccurate information prior to patient arrival, insurance verification, collection and electronic posting of time of service (TOS) payments, appropriate and timely statusing of all appointments, collection and review of all encounter forms, daily deposit of TOS payments, and preparation of charge batches.

• Monitors staff adherence to billing procedures and reports to the Department Administrator on daily activity and process improvement initiatives. Provides batch management oversight, including monitoring encounter form completion, reconciliation and batching processes of front-end billing practices to optimize charge capture and reimbursement.

Qualifications:

• Bachelors Degree preferably in Health Care Management required

• 3-4 years experience in a customer service environment, including previous experience with computerized registration systems required.

• Medical/clinical office experience, previous personnel management experience as well as financial management preferred.

• Working knowledge of IDX / GE Centricity Business preferred.

• Previous experience with an electronic health record system desired, especially GE Centricity EHR or Aria.

• Ability to perform in a high pressure environment and appropriately motivate staff.

• Ability to organize and prioritize work.

• Excellent interpersonal communication and customer service skills, and good telephone etiquette.

• Knowledge of medical terminology, HMO/PPO insurances.

• Effective oral and written communication skills.

• Ability to deal effectively and professionally with a variety of different individuals.