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About the Role

Under direct supervision, the Medical Receptionist/Medical Assistant uses basic knowledge and skills obtained through on-the-job training to provide patient-centered medical services and education in support of PPNCNY’s mission. Gathers patient information, identifies concerns, and provides information to other medical professionals to provide services and meet patient needs.

Responsibilities

• Reviews upcoming appointments to ensure accurate patient information and financial responsibility.
• Identifies and researches other primary insurances using verification resources and completes Patient Insurance Authorization form.
• Assesses and documents patient responsibility for copay/deductible/coinsurance amounts based on eligible coverage(s) for visit type before patient arrival.
• Researches and identifies discrepancies with insurance eligibility in the PM system.
• Contacts insurance plans on behalf of patients to identify benefit details based on visit type.
• Obtains and prepares patient waiver/non-covered services form for Front Office to complete with the patient when required.
• Performs day-to-day administrative functions and general office duties including copying, faxing, answering phones, and entering patient data using the Practice Management System and Electronic Health Records.
• Welcomes and greets patients/visitors to the health center in a positive manner; determines purpose of visit and directs them to the appropriate person or department.
• Schedules patients according to Policies and Procedures.
• Adheres to all health center policies on safety and security; maintains restricted areas by safeguarding keyless entry and computer system passwords in strict confidentiality.
• Exercises utmost professionalism to provide excellent customer service for patients; practices confidentiality and privacy protocols in accordance with health center policies and HIPAA requirements.
• Maintains patient waiting areas and front-desk areas in an organized and neat manner.
• Verifies method of payment for service and enters insurance information in the computer.
• Scans a copy of the insurance card into the computer.
• Assigns correct fee categories.
• Collects payment as appropriate, including past balances.
• Facilitates enrollment in the Family Planning Benefit Program, Family Planning Extension Program, and Presumptive Eligibility.
• Exercises problem-solving and conflict resolution skills when handling patient complaints; refers patient complaints to appropriate designated personnel as needed.
• Attends scheduled health center staff meetings and all staff day meetings.
• Participates in affiliate efforts to achieve revenue cycle goals.
• Collaborates with health center and non-health center team members to provide excellent internal and external customer service and satisfaction.
• Adheres to affiliate goals and policies on professionalism, wait time in-health center and on the phone, and the system for addressing client complaints.
• Understands and demonstrates compliance with PPNCNY’s policies and procedures related to providing patients with medical supplies and services.
• Accurately documents in the medical records.
• Retrieves medical records for internal and external quality management audits or as required.
• Transfers and receives patient medical records according to policy and procedure, including maintaining archived records.
• Demonstrates accuracy in the collection and documentation of laboratory specimens.
• Assists with patient reminder calls, reschedules cancellations and no-show patient visits.
• Works as a part of a team to maximize productivity standards as determined by PPNCNY’s Medical Management team.
• Under the supervision of licensed health center staff, provides non-judgmental education and care related to PPNCNY’s health center services.
• Interviews patients on entrance to the health center prior to the exam.
• Provides support, under the supervision of a RN/LPN/Provider, to patients receiving surgical services.
• Prepares and restocks exam, intake and medication rooms daily to assure efficient patient flow under the general supervision of licensed staff.
• Performs various medical lab functions, collecting blood and urine specimens, pregnancy testing, blood pressure, hemoglobin, weight and height while using aseptic technique and universal precautions.
• Performs macroscopic exam of tissue post-abortion as well as the recording, reporting, referring, follow-up and transportation of specimens as needed.

Requirements

• Cultural sensitivity and demonstrated ability to work with diverse people groups.
• Must be highly flexible; able to accommodate changing needs of the Department.
• Excellent verbal and written communication skills.
• Ability to work well under pressure with minimal supervision.
• Willingness to work evenings and/or weekends.
• Basic to intermediate computer knowledge and skills.
• Ability to travel to other centers as needed.
• Valid Driver’s License.
• Acceptance and understanding of PPNCNY’s Personnel Policies.
• Current certification in BLS/CPR.
• Assists in training of new employees.

Skills

• Medical Receptionist
• Medical Assistant
• Patient-centered medical services
• Patient information gathering
• Patient education
• Insurance verification
• Patient responsibility assessment
• Electronic Health Records (EHR)
• Practice Management System (PMS)
• Customer service
• Confidentiality and privacy protocols
• HIPAA requirements
• Problem-solving
• Conflict resolution
• Laboratory specimen collection
• Aseptic technique
• Universal precautions
• BLS/CPR certification

Education Level

• High School diploma or GED required
• Experience in a medical office with direct patient care experience or Certified Nursing Assistant certification preferred

About the Company

• PPNCNY’s mission