RECEPTIONIST - Crossroads Family Medicine

Primary Job Function:

Greets patients and registers them with current, accurate demographic information. Schedules future appointments and assists the Nurse Practitioner with office duties. Serves as liaison with professional billing service. Responsible for efficient administration of office operations. Performs duties in a manner consistent with Crossroads Family Medicineto ensure accomplishment of objectives.

Essential Job Function:

• Provides excellent service to our customers following the Crossroads Family Medicine core values, Crossroads Family Medicine customer service standards and behavioral expectations.
• Maintains confidentiality according to HIPAA guidelines at all times.
• Answers telephones, triages messages and schedules patients appointments/referrals.
• Performs patient "check in" process including registers new patients, updating of demographic and insurance information, as needed.
• Performs patient "check out" process including collection of payments.
• Assists patients and responds to all requests for assistance and information using a professional manner, as needed.
• Creates, updates, and maintains medical records per Crossroads Family Medicine and practice/clinic policies as needed.
• Financial/Insurance Preparation
• Assists with end of day/month reconciliation and financials for the practice/clinic.
• Contacts responsible party of non-insured patient, by telephone, to evaluate financial status.
• Audits patient accounts for proper charges and uniform billing revenue coding.
• Analyzes requests for review or reconsideration when payment is inadequate or inappropriate.
• Follows-up on internal/external inquiries; initiates adjustment claims when applicable.
• Collaborates with administrator and billing department for resolutions of accounts.
• Revises and maintains financial records mandated by facility policy.
• Prepares account information for litigation.
• Provides supportive documentation for claims management.
• Assists with specialized insurance forms.
• Creates a work environment that promotes safety for patients, staff, and customers.
• Reports any safety concern or near miss on the appropriate report form.
• Maintains awareness of safety at all times.

Other Job Functions:

• Serves as backup for other office staff as needed.
• Expands and maintains professional knowledge/skills through continuing education.
• Responds to all environmental safety factors.
• Provides team support to staff.
• Attends required meetings, serves on committees as requested, and assists with special projects.
• Participates with performance improvement activities.
• Interacts with patients and fellow team members with a focus on service excellence and Crossroads Family Medicine values.
• Projects a courteous and professional demeanor.
• Remains current with and adheres to all Crossroads Family Medicine policies, standards of conduct and all regulatory guidelines.
• Compiles and maintains practice/clinic logs, records, reports, and stats, as assigned.
• Maintains clean and orderly work area.
• Performs other duties as assigned.

Physical and Mental Requirements:

• Must be sufficiently mobile to access multiple data sources.
• Must have the ability to evaluate problem situations and multiple alternative scenarios and come to independent conclusions on how to respond appropriately.
• Must have the ability to communicate effectively and efficiently with patients, peers, superiors, and others on a one-to-one basis using appropriate vocabulary, grammar, and word usage.
• Must have the ability to establish and maintain effective working relations with a diversified group of people.
• Must have the ability to exercise initiative, good judgment, and discretion; decision making abilities.
• Must have the ability to manage time and energies in an efficient, effective manner.
• Must have the ability to prioritize assignments, cope with diversity and complexity, and reduce complex notices to relatively simple terms.
• Must have clinical perception is necessary to proofread materials, to index/file documents, and to organize office operations in daily work.
• Must have precision and attention to detail, skills to handle multiplicity assignments and accurate medical computations with a high degree of accuracy.
• Must have the ability to work under stressful and/or emergency/crisis situations with high concentration and energy levels.
• Must have normal range of hearing, vision and manual dexterity.
• Must have the ability to sit or stand for long periods of time; some stooping and bending are required.
• Must have the ability to occasionally lift and transport items (i.e., files, supplies) weighing up to 50 pounds.
• Must have skills in gathering information, interpreting needs and preparing recommendations relating to professional billing requirements.

Education and Experience:

• High school diploma or equivalency required.
• One year office experience including phones and typing required or an equivalent combination of educational experience from which comparable job knowledge could be acquired.
• Medical office setting experience preferred.
• Preferred knowledge in ICD-9 and CPT coding.

Other Skills and Knowledge:

• Skills in mathematical calculations, understanding of financial analysis terms; basic financial skills.
• Knowledge of healthcare administration and medical terminology is desirable.
• Strong organizational skills.
• Proficiency in computer skills and of office equipment operations, with ability to learn new software applications.