Office Assistant - Island Pulmonary

Job Responsibilities:

• Provides reception assistance (i.e. greet patients, answer calls, requests for assistance are directed to proper individual, etc.). Screens telephone callers in pleasant and a professional manner; handles call; take messages or directs caller to appropriate person or area. Schedules routine appointments and follow ups for visits and procedures that do not requireor have already been pre-authorized. Refers all inquiries regarding pre-authorizationscertifications to the appropriate person. Responsible for collecting and completing any patient related documents. Assist patient in enrolling in Patient Secure if necessary. Responsible for daily confirmation of patient appointments, with appropriate notations in system. Maintains schedule to ensure no gaps in scheduling system.
• Responsible for patient check-in and check-out. Gathers all patient demographic related data and materials from patients andor their representatives. Obtains insurance information (ID card, membergroup #s, etc.), verifies insurance eligibility electronically, takes their picture and asks them to use Patient Secure. On subsequent visits, asks them to verify demographic info and makes any necessary edits. Collect and ask patients to sign patient related documents including HIPAA, MSPQ, ABN, etc. Follow up with patients andor their representatives, physician offices, etc. to gather missing data and materials in order to complete the intake process, or refers to more senior level staff.
• Responsible for collecting co pays and any other balances owed to institution. Scan all necessary documents (insurance cards, lab requisitions, etc.) into the intake system. Monitors intake work queue for timely intake completion.
• May be responsible for pre-authorizations and certifications with the exception of surgical procedures. Ensures that appropriate procedure and diagnosis coding is utilized in the pre-certification and verification process and questions physicians, if appropriate, to ensure accuracy and completeness of information.
• Assists patients who have a question regarding insurance coverage. Refers patients who are in need of counsel on financial matters based on established criteria (e.g., denial of electronic insurance eligibility, ABN questionsconcerns, questions regarding insurance or pay-or restrictions, making payment, multi plan determinations, any and all issuesquestionsconcerns relating to financial matters) to the appropriate business officecontact.
• Maintains cooperative and professional relationships with physicians, nurses and office and clinical staff. Types routine material such as forms and letters, envelopes, etc. Types materials neatly, accurately and according to instructions.
• Answers patient questions to ensure understanding and patient satisfaction, or refers them to more senior level staff. Maintains confidentiality on matters to which they are privileged.
• Maintains and receives files for area. Maintains files in organized and up-to-date manner in order to facilitate their retrieval. Completes filing in accordance with departmental procedures. Sorts and distributes documents and forms for area section. Distributes materials according to content of communications and departmental procedures. Logs in materials with respect to time and data when applicable. Processes incoming and outgoing documents. Completes forms neatly. Secures appropriate signatures and forwards documentsforms to correct destination based on pertinent Medical Center procedures. Maintains copy for files. Faxes documents in accordance with departmental procedures. Maintains supplies and cleanliness of space, restocks supplies as needed. Notifies supervisor of any shortage of supplies.
• May assist, provide guidance andor train staff with completing intake related duties.
• Performs other duties as assigned