Trinity Health Medical Receptionist - Phys Net Prac in Pontiac, Michigan

Job Details
  • High School Diploma/GED
  • **Accountability Objectives:

**Supports Physician Network 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.

**Position Qualifications:

**Minimum Education, Licensure / Certification and Experience Required.


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


**Licensure / Certification:

**Not Applicable


**One year of physician practice, urgent care or hospital based system experience preferred.

**Medical terminology, coding and knowledge of managed care preferred.

**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.

**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.

**Demonstrates and actively promotes an understanding and commitment to the mission of St. Joseph Mercy

**Oakland through performing behaviors consistent with the Trinity Health Values.

**Maintains a working knowledge of applicable Federal, State, and Local laws and regulations, the Trinity

**Health Organizational Integrity Program, including the Standards of Conduct, Code of Ethics, as well as

**other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and

**professional behaviors.

**Supports and conducts one's self in a manner consistent with customer service expectations.

**Dept/Unit Specific:

  • Site specific responsibilities may be assigned.

**Working Conditions:

  • General office demands such as sitting, computer use requiring manual dexterity, walking about, bending and


  • Exposure to healthcare environmental conditions.

  • Weekend, holiday and evening work may be required.

Facility: St. Joseph Mercy Oakland

Location: Pontiac, MI

Department: Float Pool Phys Ntwk

Schedule: Contingent

Shift: Days

Hours: Variable