Patient Services Coord. II

• Performs all duties that are the responsibility of a Patient Service Coordinator I

• Performs all check-in and -out functions, as outlined by the MGH/MGPO Front Desk Standards of Operations.

• Provides support and information to providers to problem solve and manage complex administrative patient issues

• Performs the daily management of encounter form processing and reconcilement.

• Ensures the completeness of all forms and performs basic ICD-9 coding, as required to complete visit encounter forms for processing

• Understands all HMO, Managed Care and other Third-Party Insurers. Functions as a resource for patients around managed care plans, insurance, and referral issues, with an ability to perform electronic insurance verification.

• Understands financial services and self-pay resources and provides patients with information as needed.

• Triages and manages more complex telephone calls, utilizing courteous customer service skills.

• Maintains confidentiality and privacy, which is consistent with HIPAA guidelines.

• Completely performs and is a resource to other team members in all revenue enhancement activities, including but not limited to registration verification, co-payment collection, cash management, encounter form reconcilement, etc.

• Schedules patient appointments and referrals for specialty visits and diagnostic testing, as required. Coordinates the scheduling of diagnostic testing.

• Coordinates and tracks referral appointments and visits for decrementation.

• Provides cross coverage for other Practice staff members for absences, vacations, etc. and during variations in workflow, as needed

• Assists with training and orientation of new staff, where applicable.

• Performs all other related tasks which would facilitate the flow of patients through the practice, or which would enhance the quality of service to patients.

• Works on special projects as directed.

Qualifications

• High School Diploma required. Associate degree in Secretarial Science/Business, or a Secretarial Training Certificate Program desirable.

• Minimum of 3 years secretarial experience or equivalent in a medical or health care related setting