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BUSINESS SVCS REPRESENTATIVE East Longmeadow/ Carew st 40 HRS 8:30AM-5PM

Responsible for the accurate registration, co-pay collection and scheduling of patients within the practices. Assists internal and external customers with all clerical tasks within the office. Individual must communicate in a positive, professional manner and maintain a high level of customer service.
PRIMARY JOB RESPONSIBILITIES AND DUTIES:
1. Schedules patients visits based on department protocols.
2. Answers and routes all calls to appropriate department.
3. Greets and communicates with patients via phone or in person in a courteous and professional manner identifying themselves and their department.
4. Accurately registers patients ensuring that the information required is obtained confirming identity, address, phone numbers, PCP, insurance, co-pay and other pertinent information in order to complete patient registration.
5. Refers patient to their insurance company for any specific benefit questions.
6. Accurately requests, links and confirms referrals as required.
7. Obtains prior authorizations for diagnostic procedures if applicable and schedules appointments as needed.
8. Follows organizational and departmental protocols for communication with patients and providers.
9. Generates clear, concise, complete and professional messages in the patient's medical record. Documents appropriate and accurate information in the patient's medical record.
10. Accurately cashes-out and balances monies at the end of day.
11. Performs a variety of related clerical tasks such as retrieving previous files, filing, managing incoming and outgoing faxes, obtaining medical records from hospitals, preparation of outgoing mailings and scheduling of external tests or appointments as appropriate.
12. Informs and updates Manager/Supervisor on departmental issues or concerns and offers suggestions to improve workflows and efficiency.
13. Ensures that office equipment (computer, fax machine, copier, etc.) is functioning properly and notifies Manager/Supervisor if issues arise.
14. Participates in department meetings, organizational initiatives and quality improvement activities as requested.
15. Adheres to all HIPAA privacy and security policies and practices. Reports violations and incidents they observe and cooperates in investigations as requested by management.
16. Regular and reliable attendance in accordance with departmental needs and organizational policies. Demonstrates flexibility in work hours and locations based on the needs of the department and/or organization.
REQUIRED KNOWLEDGE, SKILLS AND ABILITIES:
1. Requires a High School Diploma or equivalent.
2. Experience within a medical office or billing department preferred. Knowledge of patient billing and Medical terminology preferred.
3. Excellent keyboard skills. Requires proficiency in a Windows based computer environment. Accuracy and dependability required.
4. Must have the ability to work well with others in a very busy, close environment as well as independently with minimal supervision. Puts others at ease by listening, allowing adequate time for interactions, and giving undivided attention. Shows receptivity to message being delivered. Demonstrates flexibility and working in a collaborative manner. Responds to information and situations in a tactful and self-controlled manner. Maintains a calm composed manner during stressful times.
5. Imparts information both verbally and in writing in a clear manner by sharing the appropriate amount and content of information so that it is understood by the intended audience. Chooses appropriate medium. Gives attention to speaker; demonstrates non-verbal cues showing interest, and responds with information or questions, as appropriate.
6. Builds effective relationships with internal and external customers; identifies customer expectations and sees issues from their point of view; offers practical recommendations. Looks for ways to build positive relationships on the work team. Demonstrates trust and respect for others.
WORKING CONDITIONS:
1. Lifting up to 25 lbs., bending and stretching required in storing of supplies and files distribution. Required to use proper body mechanics and request assistance as needed.
2. Job requires sitting and working at a computer for extended periods of time
3. On rare occasions may be required to travel to other practice locations from time to time to provide coverage as deemed necessary by management.
REPORTING RELATIONSHIPS:
1. Reports to the Regional Business Services Manager, Practice Manager or Business Services Supervisor.
2. Has no responsibility for the direct supervision of any other employees.


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