Description

At Bristol Health, we begin each day caring today for your tomorrow. We have been an integral part of our community for the past 100 years. We are dedicated to providing the best possible care and service to our patients, residents and families. We are committed to provide compassionate, quality care at all times and to uphold our values of Communication, Accountability, Respect and Empathy (C.A.R.E.). We are Magnet ® and received the 2020 Press Ganey Leading Innovator award for our rapid adoption and implementation of healthcare solutions during the COVID-19 pandemic. Use your expertise, compassion, and kindness to transform the patient experience. Make a difference. Make Bristol Health your choice.

Performs a wide variety of cross-coverage duties to provide clerical and/or clinical support to physician practices including but not limited to patient reception, flow and care. Maintains patient electronic records and insures adequate office and medical supplies for assigned areas. Explains policy and procedure and routes patient information. Answers phone calls and assesses as necessary. Works closely with Centralized Appointment Scheduling to assure patient levels are maximized. Provides clinical support as assigned under the direction of the Medical providers.

Performs Administrative Support Duties:

• Performs various reception duties: answers phones, processes patients and accurately reviews/enters demographic/insurance information into system
• Able to skillfully operate various office equipment including fax machine, copier, credit card scanners and other equipment
• Assists Office Manager with projects and requests
• Compliant with company/financial policy and procedure
• Maintains reception area and work space in a neat, clean order
• Must be willing to float to other units, departments, office, location as needed.

Effectively Manages Patient Appointments and Registration and Patient Care

• Ensures all patients and visitors are pleasantly acknowledged and greeted immediately upon arrival
• Answers all incoming calls within three rings
• Accurately reviews and updates patient information, including insurance verification, in system
• Completes insurance card and photo ID scanning upon registration
• Obtains all pre-certifications for visits, tests and procedures as required
• Responsible for completing call-backs to patient as directed
• Follows post-visit protocol and schedules patients as directed

Processes Patient Payments Daily

• Collects co-pays, self-pay and past due balances at time of service with a 98% collection rate
• Posts and close the batch for the day
• Submits completed or balanced journal and cash, checks and credit cards to Office Manager at the completion of the work day

Ensures Specialist Authorization and Certifications Are Completed For All Visits

• Responsible for obtaining all authorizations for the specialist within 24 hours of the visit
• Accurately documents all authorization data in system
• Identifies carved out insurance benefits on a case by case basis and documents accordingly
• Effectively provides patient information to insurance companies to secure medical necessity for treatment plan documented by the provider
• Is competent in scheduling diagnostic tests and procedures/surgeries required by specific practices/specialties as designated by manager

Collects Patient Data and Materials When Working in Clinical Capacity

• Collects urine in accordance with established protocols
• Uses discretion in disseminating patient information to outside sources
• Reviews patient record for completeness prior to visit
• Provides entries to patient records as necessary in preparation for provider review
• Monitors the return of lab/test results. Assures all results requested are complete and available for provider review

(In BPS only)

• Responsible for maintaining Authorization documentation in computer system and on Medical Record flow sheets.
• Reviews OTR’s completed by providers for completeness, and submits to insurance company.
• Responsible to enter ailments into computer software to add or update authorizations.

Qualifications

Educational / Minimum Requirements:

High School Graduate. Prior medical office experience as a secretary, patient access, customer service representative, or other healthcare related experience.

State/Federal Mandated Licensure or Certification Requirements:

None

Bristol Hospital Mandated Educational Requirements:

General orientation at time of hire. Fire/Safety/Infection Control annually. Other programs as mandated by Hospital.

Physical Requirements:

Bending, stooping, walking, sitting on a daily basis. On feet most of the day. Assists patients in and out of treatment rooms, in and out of chairs, on and off exam tables. Ability to spend one to four hours/day at computer terminal/personal computer performing data entry analysis. Must be able to hear with sufficient acuity so as to understand routine conversation in person or over telephone. Must possess sufficient visual acuity so as to read, use computers and conduct essential job functions in an acceptable manner. Must be able to speak so as to be understood by the average person. Significant documentation and paperwork review requiring extensive visual acuity.

Work Environment:

Medical office setting with direct exposure to patients, body fluids, possible exposure to blood borne pathogens. High volume of telephone and personal contact with customers. (If performing Radiologic Technologist key job elements will have radiation exposure.)

Cognitive Requirements:

Must be able to triage patients according to need and time requirements. Must possess excellent communication skills. Must provide comprehensive, accurate initial assessment to Medical Providers. Must be able to read both routine and technical information with comprehension. Must be able to write so the average person can comprehend. Must be able to perform simple calculations for medication doses, physical exams and tests administered. Maintains knowledge of CLIA requirements

Disclaimer

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.