A. Front Desk
1. Interviews patients or his/her representative and obtains complete, accurate, personal, demographic and financial information
necessary for admission.
a. Data areas on admit forms are complete and accurate; spelling is correct.
b. Always courteous to clients, in accordance with hospital guest relations program; helpful in explaining procedures and administrative policies.
c. Always checks patient information and updates as needed for each visit.
d. Notifies nursing staff of patient ready for office visit.
2. Verifies insurance coverage.
a. Always verifies insurance information: private Medicare or Medi-Cal.
b. Prior insurance authorizations are always obtained within specified time frame.
c. Photocopies insurance cards consistently; obtains signatures at time of registration.
d. Prepares necessary forms for Medical Records and Patient Accounting departments.
3. May attend to administrative needs of patient/family: (explains charges, alternatives for payment of bill).
a. Responds with sensitivity to patients and family in matters related to money and personal areas.
b. Is able to give basic information in response to most questions regarding patient bills/insurance.
c. Consistently able to acquire insurance information and reviews with patient to ensure accuracy.
d. Consistently/accurately files all material during assigned shifts.
e. Communicates to supervisor any customer/patient complaints.
4. Performs cashier function as necessary.
a. Always follows established Hospital policy for handling cash and collecting money.
b. Cash box always balances at end of shift.
c. Accepts credit cards, using appropriate forms; follows up.
5. Prepares batching for Data Processing.
a. Accurately prepares batching for Data Processing in a timely manner.
6. Operates clinic telephone switchboard.
a. Answers telephone in a courteous manner.
b. Identifies self and uses correct English when communicating.
c. Pages in a clear, well modulated voice to ensure understanding.
d. Demonstrates efficient, proper use of phone and paging system.
e. Does not use switchboard for personal calls.
f. Responsible for all emergency code calls; responds with expediency and efficiency.
7. Performs miscellaneous clerical duties to support billing activities.
a. Typing is current; typing is accurate and completed bills are technically correct.
b. Files materials accurately; all files can be retrieved in 3 minutes.
a. Willing to learn new jobs and assist others.
b. Consistently attends department meetings.
c. Accurately performs verification of INS, including Medi-Cal.
8. Performs other job related duties as assigned.
a. Responds to necessary changes in work schedule; uses work time to department advantage by doing various tasks, such as stocking, ordering supplies or special projects.
b. Performs other duties within capabilities as assigned by supervisor.
B. Medical Records
1. Medical record assembly:
a. Develops and manages systems to ensure that patient records and associated loose filing are assembled according to department procedures.
Records are correctly assembled within 24-48 hours of patient discharge.
2. Record analysis:
Analyzes charts for completion.
Prepares deficiency list of incomplete charts.
3. Maintains Medical Record indices.
a. Maintains department, patient and physician indices; maintains Birth and Death logs.
4. May assist with department special projects and tasks
a. Research/preparation of billing office information.
Willing to assist with department functions; demonstrates initiative and support of co-workers in processing various paperwork certificates, logs and reports.
5. Processes record releases
a. Processes and mails out record releases within 5-7 working days
Education: High school graduate or equivalent.
Work Experience: Basic knowledge of insurance billing, desirable. Knowledge of office organization and basic clerical skills; background and experience with computer terminal and medical terminology.
Language Requirements: Bilingual (English/Spanish) preferred.