Customer Svc Rep-office Coord
Company: Methodist Hospitals
Location: Merrillville
Posted on: March 19, 2023
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Job Description:
Overview
To insure and oversee that the daily functions/operations of the
clinic are in conjunction with the needs of the physicians,
nursing/ancillary support staff and patients. In addition, to
obtain/oversee the process in which patient demographic/ financial
information is acquired to insure quality patient care and
appropriate reimbursement for patients, physicians and The
Methodist Hospitals, Inc.
Responsibilities
PRINCIPAL DUTIES AND RESPONSIBILITIES(*Essential Functions) Enters
patient demographic and financial information accurately into the
computer for purposes of billing with appropriate agency. Obtains
all necessary documents related to patient's identification and
insurance. Obtains all necessary signatures and issues all
regulatory documents. Reconcile patient charges with services
provided in the clinic. Data submitted to appropriate billing
agencies for payment of physician services. Assigns and enters
diagnosis codes for all outpatient diagnostic accounts and inputs
charges. Verifies insurance eligibility for all patients and
obtains all necessary pre-certifications and/or prior
authorizations. Assists patient in arranging financial assistance
prior to appointment on all cash account and/or co-pays. Collects
and processes co-pays as appropriate. Processes reports as
appropriate. Maintains department statistics. Registers patients
for NST's on non-clinic days. Transports medical charts/equipment
from NLC clinic to SLC clinic.
Qualifications
JOB SPECIFICATIONS(Minimum Requirements)
KNOWLEDGE, SKILLS, AND ABILITIES
* Must possess a working knowledge of Federal billing regulations
governing Medicare and Medicaid programs as well as private
payers.
* Successfully passes the Medical Terminology class within six (6)
months of hire.
* Successfully passes the ICD-9 and CPT coding exam within six (6)
months of hire.
* Must be able to type a minimum of 35 wpm.
* Proficient use of personal computer and computer keyboard
necessary and successfully passes the computer proficiency
exam.
* Successfully passes the Epic Proficiency exam(s) for the
application(s) applicable to job requirements.
EDUCATION
* High School Diploma/GED Equivalent Required
* Associates Preferred
* 2 Healthcare/Medical Required
STANDARDS OF BEHAVIOR Meets the Standards of Behavior as outlined
in Personnel Policy and Procedure #1, Employee Relations Code.
CONFIDENTIALITY/HIPAA/CORPORATE COMPLIANCE Demonstrates knowledge
of procedures for protecting and maintaining security,
confidentiality and integrity of employee, patient, family,
organizational and other medical information. Understands and
supports the commitment of Methodist Hospitals in adhering to
federal, state and local laws, rules and regulations governing
ethical business practices for healthcare providers. DISCLAIMER -
The above statements are intended to describe the general nature
and level of work being performed by people assigned to this job.
The statements are not intended to be construed as an exhaustive
list of all responsibilities, duties and skills required.
Keywords: Methodist Hospitals, Gary , Customer Svc Rep-office Coord, Other , Merrillville, Indiana
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