Position Highlights :
About Firelands Health :
Our goal at Firelands Health is to be the best & preferred independent healthcare employer for the Sandusky Bay region.
Firelands Health is the area's largest and most comprehensive resource for quality medical care. We are "big enough to care for you, and small enough to care about you". We are locally managed and governed as a not-for-profit healthcare facility, serving the counties of Erie, Ottawa, Sandusky, and Huron, covering a regional service area with over 300,000 residents. Our mission is to provide excellent healthcare, promote community wellness, and improve the lives we serve.
Our Core ACE Values : Attitude : We choose to be positive and inclusive every day. Commitment : We are committed to exceed the expectations of those we serve. Enthusiasm : We will work passionately to make a difference.
Position Summary
Responsible for performing a variety of duties including but not limited to : greeting patients, vendors, and other visitors and notifying appropriate staff of their arrival, operating telephone console to route incoming calls and place outgoing calls, scheduling of patient appointments, obtaining current and accurate insurance information each visit, verifying coverage through insurance company, obtaining pre-certifications or prior authorizations as needed, maintaining daily accurate records for timely billing of accounts, notifying patients of account status and payments due using collection techniques to assist in keeping accounts receivable current. Assigned to a specific practice but may need to assist in covering other practice sites.
1. Obtains, verifies, updates and scans patient information and provides support services to patients and medical staff
2. Verifies patient's current insurance coverage through insurance websites
3. Collects and posts co-pays and past due balances, and completes any necessary forms obtaining signatures as necessary
4. Obtains prior authorizations and pre-certifications as needed
5. Manages referrals through EMR
6. Follows all incentive guidelines by helping the practice meet a variety of incentive program goals, including Meaningful Use and Patient Centered Medical Home
7. Performs daily banking through Virtual Merchant and FRMC cashiers
8. Prepares a daily financial spreadsheet for practice
9. Ensure the submission of timely, accurate and complete information to the Central Billing Office
10. Uses collection management reports to keep accounts receivable current
11. Looks for instances of Red Flag Identity theft patterns and reports potential threats to Privacy Officer
12. Requests, locates, sends and receives patient medical records according to federal, state or local guidelines
13. Maintains medical appointments for patients
14. Answers phones in a pleasant manner, screens calls following clinic guidelines to appropriately and expeditiously direct caller
15. Maintains clean, orderly waiting area including patient message board, children's area, and reading materials
16. Organizes and maintains an inventory system to ensure adequate levels of supplies with emphasis on patient care and cost containment
17. Demonstrates Competence related to the application of our core values.
18. Practices all facets of Health & Safety
19. Demonstrates competence in communication, professionalism, organizational and analytical skills, and technical / professional skills and knowledge in performance of duties and responsibilities rendered to the customer population served.
What you will need :
Equal Opportunity Employer / Protected Veterans / Individuals with Disabilities
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Medical Office Specialist • Sandusky, OH, United States