Office Representative - Multi-Specialty

Mohawk Valley Health System · United States

Job Summary The Office Representative assists in the coordination of care by providing scheduling, registration, and general clerical support to a medical practice or facility. Works under the general direction of the Practice Manager or other facility leader. Core Job Responsibilities

• Greets visitors in person and on the phone promptly, using professional and courteous customer service skills in all interactions. Appropriately refers emergent / sick calls to appropriate office staff for assessment. Takes complete messages or directs calls appropriately.
• Registers and pre-registers patients presenting for care. Explains procedures to patient or caregivers.
• Collects all pertinent data for each account to generate accurate billing.
• Verifies insurance ID cards and eligibility at each registration date. Maintains working knowledge of insurance carrier, Medicare and Medicaid requirements. Completes Medicare questionnaires and reviews for completeness in the system.
• Collects patient payments and posts to correct account promptly. Follows copay collection procedures. Documents payment methods and issues receipts for payment.
• May verify the cause of injury for no-fault and worker's compensation visits, following all work instructions.
• Schedules patient appointments to coincide with provider/facility hours and scheduling guidelines. Completes patient appointment cards. Reschedules appointments as needed.
• Generates appointment schedules.
• Follows office policies and insurance guidelines when making or receiving referrals.
• Follows billing, E/M, charging guidelines, ICD-9 coding guidelines and CPT as required by state and Federal regulations and MVHS guidelines.
• Complies with HIPAA, infection control and all MVHS, Medical Group and office policies.
• Supports and adheres to the Patient Centered Medical Home and other initiatives set forth by the Medical Group.
• Actively participates in meetings and educational programs as assigned.
• Performs related duties as assigned.

• High school diploma or equivalent.
• 2-3 years of experience working in a medical office.
• Knowledge of medical coding and medical terminology.
• Knowledge of MS Office and EMR.
• Accurate data entry skills.
• Outstanding interpersonal, customer service, written and verbal communication skills.

FTE 1