Medical Office Specialist - BRGP Orthopedics

Baton Rouge General Medical Center; Baton Rouge (LA); Presencial; USD 36.000 - 48.000; Jornada completa

Descripción de la vacante

Baton Rouge General Medical Center is seeking an experienced administrative assistant to support daily clinic operations. You will handle front-desk duties, scheduling, billing support, and patient file management.

The role requires strong data entry skills, reliability, and the ability to work in a fast-paced healthcare environment with strict confidentiality and HIPAA compliance. Experience with billing and scheduling in a clinic is preferred.

Formación

• Prior experience with billing, scheduling and general office responsibilities in a clinic setting.
• Preferred: High School Diploma or GED; vocational training encouraged.

Responsabilidades

• Answers telephone, greets visitors and schedules appointments.
• Maintains master scheduling program and creates patient appointment schedules.
• Coordinates transportation needs of patients as needed.
• Coordinates insurance coverage with patients, insurance company, and Business Office.
• Enters patient charges and performs chart maintenance.
• Processes claims electronically with 100% accuracy and mails claims to insurance carriers daily.
• Prepares daily production reports and maintains required records and files.

Conocimientos

Typing 45 wpm

Ten key by touch

Data entry

Educación

High School Diploma or GED

Post-high school vocational training encouraged

Descripción del empleo

Job Purpose & Mission

Performs administrative and clerical duties within a clinic setting.

Essential Job Functions Include, But Are Not Limited To

• Answers telephone, greets visitors and schedules appointments.


• Courteously and professionally greets guests/answers phone calls and handles appropriately according to clinic protocols.


• Maintains master scheduling program for all areas and makes appointment schedules for all patients, via computer system according to established procedures.


• Coordinates transportation needs of patients as needed.


• Coordinates insurance coverage with patients, insurance company, and Business Office as indicated.


• Communicates special patient needs to appropriate staff


• Enters patient charges, completes chart maintenance and provides a variety of clerical support functions.


• Enters charges accurately on the same day it is incurred.


• Coordinates charge data functions according to established procedures.


• Types and proofs a variety of material (e.g., letters, forms, reports, etc.) from rough draft and corrected copies.


• Maintains accurate and current files of all patient records, correspondence, reports, and information, as required.


• Forwards completed discharged charts to Medical Records according to established procedures.


• Prepares patient folders and files patient information appropriately, copy charts as approved by Medical Records, faxes and files a variety of materials.


• Mails patient evaluations, progress notes, prescriptions, etc., and follows-up on all correspondence within defined timelines.


• Performs billing functions to ensure proper billing and collections.


• Identifies and records required billing information according to insurance carrier requirements with 100% accuracy.


• Completes billing information accurately.


• Processes claims electronically with 100% accuracy and mails claims to insurance carriers daily.


• Enters documentation and adjustments through computer system to maintain a correct account balance.


• Updates system information daily according to correspondence received and processed.


• Documents any changes on a daily basis and submits information to appropriate personnel.


• Seeks clear directions to resolve issues and bring problems to a proper resolution.


• Reviews and identifies charge discrepancies and completes requests for rebilling from inter-department personnel.


• Reviews charge summaries on each patient bill that is produced and identifies discrepancies.


• Completes rebilling within 10 days according to established rebilling procedures.


• Manually documents rebilling log upon completion with 100% accuracy.


• Prepares daily production reports, maintains required records, reports, and files while evaluating account information.


• Monitors number of accounts and outstanding balances within three days of receiving report.


• Consistently apply appropriate procedures to prevent accounts from becoming delinquent or remaining unbilled.


• Initiates appropriate follow-up.


• Performs all other duties as assigned.

Experience

JOB REQUIREMENTS

Required: Prior experience with billing, scheduling and general office responsibilities in a clinic setting.

Education

Required: None

Preferred

• High School Diploma or GED


• Post-high school vocational/specialized training encouraged

Certifications & Licensure

Required: None

Special Skills or Knowledge

• Minimum typing skills of 45 wpm, ten key by touch


• Data entry skills

Hipaa & Safety Requirements

HIPAA - Maintains knowledge of and adherence to all applicable HIPAA regulations appropriate to Job Position including but not limited to: Medical records without limitation both paper and electronic, patient demographics, lab and radiology results, patient information related to surgery or appointment schedules, medical records related to quality data, patient financial information, patient billing 3rd party, patient related complaints, information related to patient location, religious beliefs and/or public health records.

SAFETY - Maintains knowledge of and adherence to all applicable safety practices appropriate to Job Position including but not limited to: Incident reporting, handling of wastes, sharps and linen, PPE, exposure control plans, hand washing, environment of care, patient identification, administers/collects medications/blood order, transports/monitors or observes patients with infusion pumps, and monitors clinical alarms.

PERFORMANCE CRITERIA & STANDARDS

Everyday Excellence Values

• Demonstrates courtesy and caring to each other, patients and their families, physicians, and the community.


• Takes initiative in living our Everyday Excellence values and vital signs.


• Takes initiative in identifying customer needs before the customer asks.


• Participates in teamwork willingly and with enthusiasm.


• Demonstrates respect for the dignity and privacy needs of customers through personal action and attention to the environment of care.


• Keeps customers informed, answers customer questions and anticipates information needs of customers.

Corporate Compliance

• Practices diligence in fulfilling the regulatory and legal requirements of the position and department.


• Maintains accurate and reliable patient/organizational records.


• Maintains professional relationships with appropriate officials; communicates honestly and completely; behaves in a fair and nondiscriminatory manner in all professional contacts.

Personal Achievement

• Uses accepted procedures and practices to complete assignments. Uses creative and proactive solutions to achieve objectives even when workload and demands are high.


• Adheres to high moral principles of honesty, loyalty, sincerity, and fairness.


• Upholds the ethical standards of the organization.

Performance Improvement

• Optimizes talents, skills, and abilities in achieving excellence in meeting and exceeding customer expectations.


• Initiates or redesigns to continuously improve work processes.


• Contributes ideas and suggestions to improve approaches to work processes.


• Willingly participates in organization and/or department quality initiatives.

Cost Management

• Effectively manages time and resources.


• Makes conscious effort to effectively utilize the resources of the organization - material, human, and financial.


• Consistently looks for and uses resource saving processes.

Patient & Employee Safety

• Employee effectively communicates, demonstrates, coordinates and emphasizes patient and employee safety.


• Employee proactively reports errors, potential errors, injuries or potential injuries.


• Employee demonstrates departmental specific patient and employee safety standards at all times.


• Employee demonstrates the use of proper safety techniques, equipment and devices and follows safety policies, procedures and plans.