Trinity Health Contingent Medical Receptionist - Lake Orion UC in Lake Orion, Michigan

I Accountability Objectives:

Supports Physician Network - Urgent Care 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.

II Position Qualifications:

Minimum Education, Licensure / Certification and Experience Required.

A. Education

High school diploma, or equivalent required. College classes desirable in a business or public relations


B. Licensure / Certification

Not Applicable

C 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.

D. Experience

One year of physician practice, urgent care or hospital based system experience preferred. Medical terminology, coding and knowledge of managed care preferred.

III 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.


Job Number: 00117200

Location: Lake Orion, MI

Organization Name: Saint Joseph Mercy Health System

Facility: SJSEMI - Lake Orion Urgent Care

Employment Type: Part time

Hours: 0