Provides excellent customer service by serving as the initial patient point of contact for TMC HealthCare and the business office; processes inbound physician referrals for scheduling, creating new patient records as required, contacts insurance payors to secure authorizations for services as required.
Exhibits excellence in customer service through appropriate attitude and interaction with all patients, visitors and staff; adheres to and supports team members in exhibiting TMCH values of integrity, community, compassion, and dedication.
Interprets physician referrals using medical terminology and scheduling knowledge to accurately transcribe faxed orders from community providers to facilitate the scheduling process.
Contacts insurance carriers by telephone for appropriate billing information such as authorization numbers.
Uses existing or new software to facilitate reconciliation of orders received to facilitate follow up for incomplete orders, authorizations and missing scripts via order images for electronically submitted orders to compliance and billing issues prior to patient appointments.
Documents all activity including authorization numbers and additional information received in the system.
Maintains appropriate filing systems, records, reports, and confidential files to ensure quick retrieval of information.
Demonstrates knowledge of resources, staffing, instrumentation and equipment specific to procedures to avoid scheduling conflicts, if applicable.
Adheres to TMCH organizational and department-specific safety and confidentiality policies and standards.
Performs related duties as assigned.
EDUCATION: High School diploma or General Education Degree (GED), or an equivalent combination of relevant education and experience.
EXPERIENCE: Preferred minimum of one (1) year of medical office and/or hospital experience. Applicants must have basic computer familiarity and experience.
LICENSURE OR CERTIFICATION: None required.
KNOWLEDGE, SKILLS AND ABILITIES:
Knowledge of office management practices, including billing and scheduling within healthcare.
Applicants must have basic computer familiarity and experience and the ability to operate basic office equipment.
Ability to read or listen and comprehend simple instructions, short correspondence, and memos.
Ability to write simple correspondence; ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.
Ability to read and interpret documents such as safety rules, procedure manuals, and governmental regulations.
Ability to effectively present information and respond to inquiries or complaints from patients and/or their representatives and the general public.
Ability to apply common sense understanding to carry out simple/detailed written or oral instructions.