Job Description

General Purpose of Job:

Under the direction of the STCI Outreach Practice Manager, the Ambulatory Scheduling Specialist/Medical Assistant main objective is to schedule and/or pre-register patients for STCI and function as clinical medical assistant rooming patients. Responsibilities include scheduling patient appointments, providing pre-registration, verification of insurance, obtaining insurance authorizations, collecting patient payments, completing appropriate medical necessity checking and clinical duties as assigned in a medical assist position.

Essential Duties:

This job description is intended to cover the minimum essential duties assigned on a regular basis. Caregivers may be asked to perform additional duties as assigned by their leader. Leadership has the right to alter or modify the duties of the position.

• Interview patients for the purpose of scheduling and/or pre-registration. Collect complete and accurate confidential demographic and financial information to comply with regulatory agencies and billing requirements.
• Assign appropriate ICD-10 for registration and billing compliance purposes at the point of scheduling and registration.
• Verify medical necessity check upon scheduling a patient.
• Verify insurance eligibility and covered benefits by using all electronic systems available or by phone.
• Answer telephones, direct calls and record and distribute messages.
• Schedule clinical office visits and appointments.
• Schedule appropriate patient testing prior to office visits.
• Reschedule appointments as needed.
• Monitor physician clinic schedule to ensure clinics are adequately scheduled to maximize patient access.
• Explain billing/payment policies to patients.
• Check-out patients, collecting payment as needed.
• Collect and verify necessary insurance authorizations as appropriate and possess knowledge of financial class requirements regarding registration and insurance requirements. Prior to arrival, document financial information in the accounts for billing purposes and to ensure benefits are listed for point of service collection.
• Collect payments for services that are not covered by the patient's insurance.
• Operate multiple computer applications to register patients, schedule appointments and retrieve surgical, testing, insurance and financial information.
• Communicate with providers (physicians, APPs, RNs) regarding orders placed for patients.
• Serve as a liaison between STCI Cardiology Lansing Clinic and other departments e.g. Patient Support Services, Patient Access, SMG Referring physician offices, all hospital emergency departments in order to obtain required data for appointments scheduled at STCI.
• Work exception accounts held internally or rejected by payers for errors related to registration an financial clearance activities.
• Assist with patients.
• Take vital signs.
• Enter data in electronic medical record.
• Maintain/Stock clinic supplies and exam rooms.
• Patient assistance program for applicable patients.
• Clean surgical equipment.
• Clerical and other duties assigned by the Manager of Patient Care the essential duties of the job beginning with the most important.

Job Requirements

General Requirements	* Demonstrates knowledge and maintains and respects patient right to privacy by following the HIPAA Privacy and Security policies and procedures. * Adheres to ICARE values and standards of behavior (Innovation, Compassion, Accountability, Respect, Excellence). * Role model behaviors that value the diversity of our associates, patients and customers and supports creating an environment that is inclusive, welcoming and respectful. * Communicates with patients, families and customers using AIDET (Acknowledge, Introduce, Duration, Explanation, Thank). * Works in a safe manner and promptly reports any hazards identified in the work environment or related to assigned responsibilities.
Work Experience	* 1 year in multiple physician office experience, medical records, or equivalent job training.
Education	* High school diploma or GED * Graduate of an accredited Medical Assistant, Cardio Tech, EMT, or Paramedic program. * Will consider applicants with Comparable Military training and experience.
Specialized Knowledge and Skills	Required: * Mobility required * Ability to work as part of a team to provide quality patient care * Demonstrates a positive team attitude and has interpersonal skills to effectively and appropriately communicate with clients, families, providers, and co-workers * Necessary visual and auditory acuity to monitor patient's condition and operate department equipment Preferred: * RMA/CMA preferred * Increasing experience assisting with in-office procedures and sterile technique preferred * Experience with Electronic Medical Record (EMR) preferred