Job Summary MedStar RadAmerica is committed to providing world-class, compassionate care to every patient, every time, at every touch point. All associates are accountable for their role in meeting patient experience standards.
Provides direction and oversight to the front desk personnel. Responsible for all aspects of work flow in the department. Minimum Qualifications Education/Training High school graduation or equivalent; Associates degree, business courses or administrative/secretarial training preferred; knowledge of medical terminology; knowledge of ICD-10 coding. #Experience 3 years administrative/secretarial experience, including experience with Medicare, BlueShield, Medical Assistance and various carriers and account resolution; supervisory experience preferred. #License/Certification/Registration No special certification, registration or license required. #Knowledge, Skills # Abilities Data entry skills.
Working knowledge of various computer software applications. Verbal and written communication skills. Primary Duties and Responsibilities Assists quality assurance director with ensuring that risk management policies are followed.
Contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards, and safety standards. Complies with governmental and accreditation regulations. Identifies insurance carrier requirements for authorizations and referrals at consultation.
Interacts with insurance companies and managed care organizations. Maintains as much as possible high morale among staff through troubleshooting, tactfully and openly communicating personnel issues with administrative staff as appropriate, developing confidence in ability to handle crisis and solve problems. Manages all aspects of insurance pre-certification, referrals and implant scheduling.
Secures authorizations and pre-certifications as necessary to carrier specifications. Manages all aspects of petty cash disbursement and record-keeping. Requests checks from administrative coordinator as necessary for petty cash.
Oversees all aspects of daily work flow. Supervises receptionists. Coordinates technical, medical, and administrative support.
Intervenes when crisis or unusual situations occur. Manages coverage issues with technical and medical supervisors. Works with physician and senior therapist to develop efficient, effective procedures.
Coordinates physical plant repairs and updates with building manager. Oversees all aspects of new patient records to assure that the chart is prepared appropriately. Ascertains that pertinent records have been obtained by receptionist and/or nurse.
Verifies insurance coverage. Oversees preparation of charge report for submission to UBS. Participates in quarterly office manager meetings.
Performs other duties as assigned. Performs receptionist duties in his/her absence. Prepares fee discussion for individual patients according to established guidelines.
Responds to problems and requests from patients, referring physicians and GT physicians providing information and giving directions as needed. Maintains managed care updates, attends GUH meetings to remain current with carrier specifications.
Medstar Research Institute