The Clinical Administrative Coordinator is responsible for the oversight of functions at the Front Desk of one or more centers. Greets patients, oversees medical records, routes paperwork and charts to the appropriate places. Ensures that clinic resources are being used in the most efficient manner. Handles telephone traffic and ensures admitting and discharge functions are providing for optimal patient flow. This position may supervise one or more front office support staff, and also takes on one or more high-level, critical positions such as medical coding, financial counseling, clinical scheduling, medical assisting, etc.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Greet patients and visitors. Determine their needs and direct them accordingly.
Check in patients.
For new patients obtain all necessary documents, copy insurance cards, etc.
For established patients obtain updates, address and insurance changes, etc.; update information in computer
Confirm insurance eligibility, co-pay, and any outstanding balance to be collected.
Manage switchboard, directing incoming phone traffic accordingly
Triage patient calls either directly to nurse or to voice mail, recognizing emergency vs. non-emergency
Roll phones for lunch and after hours
Answer questions and give information directly or on the telephone within the limit of knowledge and medical practice policies
Schedule and confirm appointments; give routine, non-medical instructions in preparation for the patient's visit
Call to confirm appointments; reschedule all changes. Prepare patient charts for office visit, confirming all correct documents are in chart; confirm demographics; confirm correct labeling; print superbill
Complete and submit Authorization for Patient Treatment request forms and include all related documents to the office authorization coordinator for processing
Assemble faxes, labs, and other reports to pair with charts and route to MD desk
Maintain dictation process (corrections, missing dictation route to MD desk for approval, mark off for billing, fax/mail to MD's offices correspondence as indicated)
Fax/mail requested records on patient referral or MD request
File charts appropriately and correctly. Clear dictation room, file charts after work in progress is complete
Maintain results log for pathology and biopsy results, and pair with chart for MD signature
Provide return to work/release work notes to patients
Provide weekly reports to Revenue Manager
Purge charts annually, maintaining status of charts in computer system
Maintain break room cleanliness
Perform other duties as required.
Additional duties may involve the functions of Medical Assistant, including but not limited to:
o Assist MD in exam room
o Obtain and chart patient's vital signs
o Draw blood for lab tests
o Chart information of patient consultations and progress
o Meet with patients to explain treatment costs, insurance coverage, patient financial responsibility
o Develop a standard estimate that includes CPT codes and standard units
o Coordinate proper insurance verification and documentation
o Monitor and collect financial balances owed during course of patients' treatment
o Enter all CPT and ICD-9 coding into medical management system
o Enter all word codes per company policy and procedures
o Review daily physician schedules and evaluate office consults and visits using CPT coding guidelines
o Generate and process authorization for patient treatment requests for HMO insurance plans
EDUCATION AND/OR EXPERIENCE:
High school graduate or equivalent
Excellent organizational and interpersonal skills
Good telephone and computer skills. Medical Manager/Intergy experience preferred
2 4 years' experience working in a medical office required
CONFIDENTIAL AND SENSITIVE INFORMATION:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Job Description Clause
The statements herein are intended to describe the general nature and level of work being performed by employees, and are not to be construed as an exhaustive list of responsibilities, duties, and skills required of personnel so classified. Furthermore, they do not establish a contract for employment and are subject to change at the discretion of the employer.
21St Century Oncology