Patient Billing/Services Representative III Certified - General Medicine & Geriatrics

Scheduled Hours

40

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 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.
• May provide Medical Assistant services to the department (MA certification required) as needed.
• Performs other duties as assigned.

Preferred Qualifications

• Knowledge of medical terminology
• Extensive telephone experience with demonstrated exceptional phone etiquette.
• Experience in a managed care setting
• Experience using the EPIC System
• Familiar with WUSM services and programs
• Extensive knowledge with data entry/computer experience with an automated scheduling system.
• Working knowledge of general office equipment and computers
• Organization and communication skills that require discretion with confidential information.
• Ability to work independently, prioritize multiple tasks, have knowledge of medical terminology, handle busy phones and capable of working in a fast-paced environment
• Possess excellent communication organization and interpersonal skills.
• Ability to handle stressful situations and have excellent decision-making skills.

Required Qualifications

• High school diploma or equivalent high school certification with four years of experience in billing systems and third-party claims and/or experience in a medical office setting or related customer service/office experience or an equivalent combination of relevant education and experience.
• Basic Life Support certification.(Online BLS certifications, those without a skills assessment component, are not sufficient to meet the BLS requirements.). BLS certification must be obtained within one month of hire date.
• Registered/Certified Medical Assistant or successfully achieve Medical Assistant registration/certification or pass assessment-based recognition (ABR) exam or Pharmacy Technician licensure within 6 months of hire date or within a shorter time frame if noted by hiring manager.
   

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 f