Trinity Health Medical Receptionist - Phys Net Prac in Pontiac, Michigan
- High School Diploma/GED
- **Accountability Objectives:
**Supports Physician Network practice by creating a patient-centered experience when answering telephones, schedules
**appointments and procedures, registers patients, performs patient billing and other general business functions as
**assigned. Displays courteous, professional manner and proactively develops customer relationships, giving high
**priority to customer inquiries. Completes accurate pre-registration/registration process and insurance verification for
**eligibility for coverage. Secures necessary authorizations to facilitate reimbursement.
**Minimum Education, Licensure / Certification and Experience Required.
**High school diploma, or equivalent required. College classes desirable in a business or public relations
**Licensure / Certification:
**One year of physician practice, urgent care or hospital based system experience preferred.
**Medical terminology, coding and knowledge of managed care preferred.
**Special Skill / Aptitudes:
**Medical terminology preferred with ICD coding experience and knowledge of third-party payers.
**Demonstrates responsiveness to needs of patients, other care team members, and self.
**Ability to organize and prioritize, in a fast-paced environment.
**Ability to use and effectively integrate positive communication approaches to meet diverse patient needs,
**optimize resources, and adapt care processes to accommodate changing patient acuity and unit needs.
**Ability to use critical thinking, logic and reasoning to address complex situations.
**Excellent interpersonal service skills necessary in order to form and maintain positive relationships with
**customers and other healthcare professionals.
**Excellent customer service orientation skills necessary in order to deal effectively with various levels of
**hospital personnel, outside customers and community groups.
**Duties / Responsibilities:
**1 Responsible for accurate patient registration, including insurance eligibility verification. Maintains current
**knowledge of managed care information, and other PPO, POS and HMO products (i.e. current practice
**management systems), to include benefits, waivers and provider status eligibility.
**2 Schedules appointments by phone or at discharge utilizing patient scheduling software. Schedules
**procedures and records specific information/data required. Prints and distributes daily schedules and pulls
**appropriate charts/medical records for the next days appointments.
**3 Maintains up to date knowledge of coding for primary care (or specialty care as appropriate) in the office
**utilizing CPT, ICD and HCPCs. Enters patient charges, posts payments and balances daily batches
**utilizing billing system application. Answers patient questions about payment status.
**4 Responsible for the collection of point of service payments, previous balances and any other fees from
**patients. Reconciles daily cash/cash drawer including a minimum of three deposits weekly per site. Gives
**appropriate receipt to patients. May count and balance petty cash drawer daily.
**5 Understands and performs referral process. Maintains, troubleshoots and assists with all patient referrals.
**Assures that referrals are accurate and complete. Maintains knowledge of plans and participating physicians
**including specialists. Communicates and educates referral process to patients as needed. Understands the
**utilization process and appropriateness of each referral.
**6 Greets patients as they enter, exhibiting appropriate customer service standards. Collects patient
**demographic information/data and initiates patient medical record. Works with the team to assure smooth
**flow in all operations of the practice.
**7 Answers telephones, routes calls to appropriate staff, takes accurate phone messages, and relays messages to
**staff and physicians.
**8 May perform filing for the practice which includes faxes, mail opened and distributed, reports, results,
**messages. Files charts back alphabetically or numerically (site specific)
**9 Participates in staff meetings, education, in-services, competence programs, process improvements projects
**and quality improvement projects as necessary.
**10 Adheres to hospital policy regarding awareness of and sensitivity to patient rights, privacy and
**confidentiality. Understands the policies regarding patient confidentiality and copying documents for patients,
**physicians, subpoenas, and insurance companies.
**11 Performs other duties as assigned.
**Demonstrates and actively promotes an understanding and commitment to the mission of St. Joseph Mercy
**Oakland through performing behaviors consistent with the Trinity Health Values.
**Maintains a working knowledge of applicable Federal, State, and Local laws and regulations, the Trinity
**Health Organizational Integrity Program, including the Standards of Conduct, Code of Ethics, as well as
**other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and
**Supports and conducts one's self in a manner consistent with customer service expectations.
- Site specific responsibilities may be assigned.
- General office demands such as sitting, computer use requiring manual dexterity, walking about, bending and
- Exposure to healthcare environmental conditions.
- Weekend, holiday and evening work may be required.
Facility: St. Joseph Mercy Oakland
Location: Pontiac, MI
Department: Float Pool Phys Ntwk