Medical Center Rep - Sumter Primary Care - Phoebe Putney Health System

Description

JOB SUMMARY

• Screens and refers all incoming calls and customers and or patients, manages customer and or patient flow, maintains current medical records, files secondary insurance, enters charges and payments, files secondary insurance, workers compensation claims, and corporate services claims, pursues collections daily, investigates patient billing inquiries, orders supplies and prepares mandatory computer generated reports. Performs business office functions within a medical clinic related to appointment scheduling, registration, claims management, cash collection, and medical records maintenance. During times of high patient volume and/or to assist with coverage, may be asked to float to other PPG clinics.

GENERAL REQUIREMENTS

• Adheres to the hospital and departmental attendance and punctuality guidelines
• Performs all job responsibilities in alignment with the core values, mission and vision of the organization
• Performs other duties as required and completes all job functions as per departmental policies and procedures
• Maintains current knowledge in present areas of responsibility (i.e., self education, attends ongoing educational programs)
• Attends staff meetings and completes mandatory in-services and requirements and competency evaluations on time.
• Demonstrates competency at all levels in providing care to all patients based on age, sex, weight, and demonstrated needs. For non-clinical areas, has attended training and demonstrates usage of age- specific customer service skills.

WORKING CONDITIONS

• General environment: Works in a well-lighted, air-conditioned area, with moderate noise levels.
• May be exposed to high noise levels and bright lights.
• May be exposed to limited hazardous substances or body fluids, or infectious organisms.
• May be required to change from one task to another of different nature without loss of efficiency or composure.
• Periods of high stress and fluctuating workloads may occur.
• May be scheduled as needed including overtime

Qualifications

EDUCATION REQUIREMENTS

• High School Diploma or GED (Required)

EXPERIENCE REQUIREMENTS

• 1 year of medical office experience is required (Preferred)
• 1 year experience with CPT and ICD-9 insurance coding (Preferred)
• 1 year of customer service experience (Required)

CERTIFICATIONS AND LICENSURES

• No Certifications are Required or Preferred

GENERAL SKILLS

• Organizational Skills
• Communication Skills
• Interpersonal Skills
• Customer Relations
• Mathematical
• Grammar / Spelling
• Read / Comprehend Written Instructions
• Follow Verbal Instructions
• Basic Computer Skills
• General Clerical Skills
• Motivational skills
• Self-starter

PHYSICAL REQUIREMENTS

• Have near normal vision - Clarity of vision (both near and far), ability to distinguish colors
• Have good - manual dexterity and eye-hand-foot coordination
• Ability to perform - repetitive tasks/motion

PHYSICAL DEMANDS

• Standing - Frequently within shift (34-66%)
• Walking - Frequently within shift (34-66%)
• Sitting - Continuously within shift (67-100%)
• Climbing - Occasionally within shift (1-33%)
• Bending/Stooping - Occasionally within shift (1-33%)
• Twist at waist - Occasionally within shift (1-33%)
• Pushing/Pulling - Occasionally within shift (1-33%)
• Reaching above shoulder - Occasionally within shift (1-33%)