Medical Assistant​/Registration Representative

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POSITION SUMMARY
This position is responsible for performing secretarial, reception, medical assisting and initial patient needs assessment functions. Provides outstanding customer service and ensures a smooth patient flow process by providing services in admissions, financial counseling, billing, scheduling patients, paperwork completion, explanation of procedures, making of appointments, and conducts registration. Explains and obtains signatures on forms such as registration, medical history, Conditions of Admission, Financial Agreement, Advance Directive, and Hospital Grievance policy.

Receives referrals from physicians, obtains authorizations and calls insurance plans for verifications. At time of service is able to receipt cash and record accurately as well as enter charges and perform charge reconciliation. Also assists clinicians in providing medical care and in office testing as well as implementing and evaluating direct patient care. Utilizes special knowledge, judgment and skills necessary to provide appropriate patient care.

CORE FUNCTIONS
1. Performs registration processes, verifies insurance coverage and obtains authorization notification. Accurately documents information and performs data-entry to ensure maximum reimbursement. Obtains necessary signatures specific to patients' insurance plan. Calculates patient liability according to verification of insurance benefits. Collects deposits and co-payments. Provides financial counseling for patients and their families by explaining financial policies and providing available resources for alternative payment arrangements.

Assists patients and their families with completing financial documents when appropriate.

2. Serves as a liaison between the patient, billing department, and payor to enhance account receivables, resolve outstanding issues and/or patient concerns. Enters charges for services delivered and does daily charge reconciliation in a timely and accurate manner. Balances cash drawer at the beginning and end of the day and prepares daily bank deposit with necessary paperwork faxed to PBO. Adheres to all billing procedures including preparation of Medicare billing at the end of the month within specific timelines.

3. Responsible for scheduling of patients, families, procedures, and physician appointments. Assists in scheduling routine appointments within the medical practice(s) and external practices as necessary. Assists in obtaining pre-certification, referrals, authorizations, prescriptions refills and other medical testing as necessary. Responsible for communicating test results to patient. Acts as a resource to clinician in order to provide optimal patient care.

4. Optimizes patient flow by using effective customer service communication skills utilizing kindness, tact and courtesy to ensure positive patient response to service. Demonstrates proactive interpersonal communications skills when relating to internal and external customers. Uses discretion and is attentive to issues of customer confidentiality. Demonstrates skills in pro-active resolution and attempts to resolve scheduling conflicts.

5. Provides support to include, answering the phones, returning phone messages, pick-up/prioritizing/distributing mail, completing purchase requests, ordering supplies/forms, coordinating/scheduling meetings, maintaining and re-stocking exam rooms and lobby. Monitors inventory including medication/injectables and immunizations, i.e., expired medications, recalls and patient tracking. Responsible for the medical records for the assigned area. Ensures medical records are pulled and ready daily. Initiates obtaining needed records from hospitals, practices, and other ancillary departments.

Follows guidelines and assists in developing procedures to ensure that medical records are in compliance with all state and federal laws.

6. Prepares patient for exam…