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5 Star University

"Patient Billing/Services Representative III - Ophthalmology"

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Patient Billing/Services Representative III - Ophthalmology

Position Summary

Serves as the lead to Patient Billing/Services Representatives; plans, organizes, gives direction, and assists in aspects of the front desk/scheduling team; coordinates office functions and performs specialized/technical duties with minimal supervision; serves as a liaison between consumers (staff, patients, healthcare professionals and general public) and advocates the patients’ needs.

Job Description

Primary Duties & Responsibilities:

  • Monitors the performance of the staff areas to ensure quality care and compliance with practice standards.
  • Monitors and observes to ensure appointments are scheduled appropriately in accordance with departmental procedures to include scheduling transactions, registration review, pre-arrival processes and HIPAA acknowledgement notification and documentation using department-approved monitoring tools.
  • Works with physician and/or appropriate personnel to appropriately triage patient phone calls, tasks and e-mails as needed.
  • Assists in management of providers’ schedules, scheduling templates and master schedules according to physician protocols and management direction.
  • Assists in coordination of training, interoffice activities, schedules, programs, distribution of policy/procedure changes and related administrative needs; serves as primary trainer for new procedures and to new staff members in conjunction with manager.
  • Assists in coordination of staff vacations, schedules and coverage.
  • Assists with staff timesheets and distribution of accruals.
  • Plans, schedules and/or carries out orientation program and staff training/development for established and new personnel under guidance of management.
  • Coordinates ordering and monitoring of supplies, equipment, mail and related operational services as needed.
  • Maintains required skills/competencies and participates in in-services, staff programs, continuing education and cross-training programs according to established standards.
  • Complies with OSHA, state and federal regulatory sources/standards.
  • Acts as backup for staff during peak times, vacations, illnesses.
  • Prepares custom reports as directed by management.
  • Participates in quality improvement activities to ensure appropriate clinical outcomes.
  • Incorporates the Fish Philosophy and Principles into daily job activities.
  • Performs other duties as assigned.

Working Conditions:

Job Location/Working Conditions:
Normal office environment.
Patient care setting.

Physical Effort:
Typically sitting at desk or table.

Equipment:
Office equipment.

The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time.

Required Qualifications

Education:

High school diploma or equivalent high school certification or combination of education and/or experience.

Certifications/Professional Licenses:

The list below may include all acceptable certifications, professional licenses and issuers. More than one credential, certification or professional license may be required depending on the role. Basic Life Support - American Heart Association, Basic Life Support - American Red Cross

Work Experience:

Billing Systems And Third-Party Claims And/Or Medical Office Setting, Related Customer Service (4 Years)

Skills:

Not Applicable

Driver's License:

A driver's license is not required for this position.

More About This Job

Required Qualifications:

  • Basic Life Support certification must be obtained within one month of hire date.
  • Basic Life Support certification (Online BLS certifications, those without a skills assessment component, are not sufficient to meet the BLS requirements).

Preferred Qualifications

Education:

No additional education unless stated elsewhere in the job posting.

Certifications/Professional Licenses:

No additional certification/professional licenses unless stated elsewhere in the job posting.

Work Experience:

No additional work experience unless stated elsewhere in the job posting.

Skills:

Communication, Computer Literacy, Confidential Data Handling, Data Entry, Decision Making, Epic EHR, Fast-Paced Environments, Interpersonal Communication, Managed Care, Medical Terminology, Multitasking, Office Equipment, Organizing, Patient Confidentiality, Scheduling, Stress Management, Telephone Communications, Working Independently

Grade

C08-H

Salary Range

$20.57 - $30.84 / Hourly The salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within the same grade and department budget.

10

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