Under the supervision of the Clinic Nurse Manager, the Clinic Assistant represents the Hospital and welcomes all patients and visitors who enter our facility. Responsible for accurate and orderly scheduling of patients and collection of patient data needed to perform service. Accountable for proper patient identification to ensure patient safety. Ensure Practitioner ordered services are scheduled as directed by office staff and order/script. Responsible for verifying that the diagnosis provided, and the testing ordered meet Medicare’s Local Coverage Decisions (LCD) and National Coverage Decision (NCD), prior to the testing. Ensure data collection for scheduled services meet the requirements defined by the servicing department. Assist pain management physicians and hospital staff by providing chart preparation and insurance prior authorization for procedures and medications. Coordinates the financial and clerical duties to meet the needs of our patients and hospital services. Embodies the Memorial Health System Performance Excellence Standards of Safety, Quality, Integrity and Stewardship that support our mission, vision and values.
Location: Lincoln, IL
Day Shift 8:30am - 2:30pm
Minimum Qualifications:
Education:
• High School Diploma or GED required
Experience:
• Medical terminology, and previous medical scheduling experience highly desired
Other Knowledge/Skills/Abilities:
• Strong written and verbal communication Skills
• Outstanding customer service skills
• Basic understanding of ICD-10 diagnosis codes and CPT-4 coding
• Aptitude for detail and accuracy a must
• Aware and understand that they will experience the common working conditions, which include, but not limited to, being exposed to stressful situations due to the highly critical nature of this position, contact with patients under a wide variety of circumstances, subject to many interruptions, subject to irregular hours/locations, etc.
• Flexible and ready to handle change while maintaining and exceeding the standard customer service.
• Able to multitask.
Principal Duties & Responsibilities:
1. Embodies the Memorial Health System Performance Excellence Standards of Safety, Quality, Integrity and Stewardship that support our mission, vision and values:
• SAFETY: Prevent Harm - I will put safety first in everything I do. I will speak up, without fear, on matters of patient and colleague safety. I will take action to create an environment of zero harm.
• QUALITY: Improve Outcomes - I will continually advance my knowledge and skills. I will seek out continuous improvement opportunities. I will deliver evidence-based care that leads to excellence in outcomes.
• INTEGRITY: Show respect and Compassion - I will respect others and show compassion. I will behave honesty and ethically. I will be accountable for my attitude, actions and health.
• STEWARDSHIP: Reduce Waste - I will use resources wisely and maintain financial stability. I will work together to coordinate care and services across the health system. I will promote healthier communities.
2. Professionally and courteously, interact with the general public, physicians and hospital personnel.
3. Receive Physician orders for patient testing and ensures orders comply with Medicare’s Local Coverage (LCD) and National Coverage Decision’s (NCD).
4. Obtain patient clinical and demographic data to appropriately provide the medical service identified by the practitioner and to provide the service at the time that best meets the patient schedule.
5. Demonstrate a good understanding of the elements involved with the various procedures/exams and provide appropriate instructions to patients for specific testing ordered.
6. Receive and interview incoming patients and/or relatives to obtain necessary information for scheduling walk-in testing.
7. Coordinate and communicate necessary information to the Registration personnel to facilitate the pre-registration of scheduled patients.
8. Communicate scheduling information to effected departments and physicians.
9. Maintain computer system master files to optimize system/resource effectiveness.
10. Coordinate and assist Financial Representative to ensure pre-certification/pre-authorizations are completed prior to service(s) being rendered.
11. Provide excellent customer service to patients, visitors, physicians, hospital staff and co-workers.
12. Keep supervisor informed of all potential problems.
13. Demonstrated self-starter.
14. Ability to multitask and work in high call volume stressful environment.
15. Coordinate with hospital staff to ensure patients are scheduled.
16. Performs other related work as required or requested.
The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job. Incumbents may be requested to perform tasks other than those specifically presented in this description.
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