The Business Office Clerk provides clerical support to the Ambulatory Surgery Center. This position serves many different functions.
The primary areas of responsibility are: Patient admissions and cash collections, telephone communications, medical record maintenance, and case history / inventory depletions. Secondary responsibilities include providing back-up support for the Insurance Verifications, Surgery Scheduling, and other duties as assigned by the Business Office Manager.
ESSENTIAL JOB FUNCTIONS
1.Greet patients on admission.
2.Verify patient information as necessary.
3.Obtain required patient information, copies of insurance cards, and signatures.
4.Collect patient co-payments, co-insurance or deductible payments.
5.Notify appropriate staff of patient arrival and admission.
6.Ensures patients are aware of any potential observers, and initiates proper paperwork to document the patient's approval.
7.Responsible for ensuring that all vendors are properly checked-in before authorizing admittance into patient care areas.
8.Keep family members informed of patient's status during their stay in the Center.
9.Receive incoming phone calls with 3 rings; transfer call appropriately; take messages as necessary.
10. Maintain friendly and polite phone etiquette.
11. Make necessary phone calls to patients, physicians, etc.
12. Maintain thorough working knowledge of phone system.
Medical Records Maintenance.
13. Register patient in registration software module and initiate a medical record on each patient schedule for surgery. Put all necessary forms in patient chart.
14. Obtain History & Physicals, and Operative Reports from transcription service.
15. Obtain missing physician signatures and file reports in the patient chart.
16. Notify physicians of delinquent operative reports.
17. Report outstanding signatures needed to supervisor.
18. Maintain medical records filing system; file charts appropriately.
19. Coordinates all requests for copies of medical records from patients, business associates, and other authorized parties.
20. Responsible for coordinating records to and from off-site storage.
Case History / Inventory Depletions
21. Completes the Case History module for the prior day cases to include procedure times, staff assigned, and supplies, instruments, and equipment used in each stage.
22. Schedule patients for surgery using the scheduling software.
23. Cancel patients from surgery schedule, as directed.
24. Adjust surgery schedule (change dates, times, etc.) as necessary.
25. Notify patients of changes in their date or time of surgery.
26. Notify internal departments and business associates such as anesthesia, lab, and other providers of changes in surgical schedule.
27. Responsible for verifying patients' insurance coverage and notification of patients 7 days prior to scheduled procedure.
28. Collection of all patient co-payments, coinsurance and deductibles at time of service.
29. Calculating Self-pay patient quotes in accordance with Center policies and procedures.
30. Demonstrate a thorough knowledge and understanding of the Center's Policies and Procedures.
31. Maintains patient confidentiality standards for both medical and financial information in accordance with applicable policies and regulation.
32. Participates in loss prevention by protecting company assets and maintaining a safe environment.
33. Provide back-up support to Business Office Coordinator and other Business Office staff as needed.
34. Assist in continuous quality improvement processes.
35. Keep job related skills current.
36. Responsible for continued compliance with all legal, regulatory, and accreditation standards as it relates to the business office and medical records department.
37. Maintain confidentiality of all physician and employee data.
38. Perform other duties as assigned.
USPI'S EDGE (Every Day Giving Excellence)
USPI'S EDGE is the key to the differentiation of USPI as a customer-focused company. The process of completing EDGE requirements establishes processes and measurements that are collected, assimilated, and shared throughout USPI.
All employees are involved with EDGE. The involvement can range from doing their jobs to taking on the role of gathering and/or entering data into the computer. All employees shall at some time during their employment be required to participate in the EDGE program.
1.Must have a high school diploma or equivalent with two years of work experience in medical office, hospital or clinic office administration with experience in patient services, scheduling, billing, coding or related fields.
2.Knowledge of computer software such as Microsoft Office and the ability to type 35 WPM.
3.Duties require professional verbal and written communication skills, and proper telephone etiquette.
4.Knowledge of medical terminology and surgical procedures. Has a thorough understanding of the requirements of Medicare, Worker's Compensation and third party payers as related to ASC reimbursement.
5.Must demonstrate the desire and ability to work productively within a Team concept while utilizing exceptional interpersonal and communication skills to independently interact with physicians, patients, family members and all levels of staff.
6.Ability to think quickly and problem solve independently.
7.Maintains current BLS certification. (BLS certification course will be provided if needed)
8.Failure to maintain any required licenses, registrations or certifications may result in temporary or permanent disqualification from employment.
WORKING CONDITIONS (PHYSICAL)
1.Sitting in a normal seated position for extended periods of time.
2.Reaching by extending hand(s) or arm(s) in any direction.
3.Finger dexterity required to manipulate objects with fingers rather than with whole hand(s) or arm(s), for example, using a keyboard.
4.Communication skills using the spoken word.
5.Ability to see within normal parameters.
6.Ability to hear within normal range.
7.Ability to move about and occasional ability to lift, carry and move parcels weighing up to 25 pounds.
WORKING CONDITIONS (ENVIRONMENTAL)
Work is performed in an office setting with frequent exposure to an operating room/clinical setting and the associated hazards associated with a clinical setting, including exposure to communicable disease, blood borne pathogens and chemicals.
Present a professional image at all times. Requires appropriate business casual attire.
May require working overtime to meet job responsibilities. Ability to handle periods of stress.
United Surgical Partners International