Patient Services Rep

MOSC 2 Radiology Patient Care CoordinatorUnder the direction of the Ambulatory Care Supervisor(s), and the Manager, the MOSC 2 provides patient care coordination to Radiology modalities. As the support member in Radiology, the incumbent is responsible for sustaining an environment of intrinsic good will in which to provide his/her assigned patient population all essential non-medical assistance in areas of appointment scheduling, registration, ancillary visit, patient population, and insurance administration. Incumbents are expected to adhere to the established protocols of the Department of Radiology, practice standards and principals of managed care. This person interacts directly with Radiologists, clinicians, community physicians, and other University personnel. Incumbent works independently and work is referred to his/her supervisor when standard procedure or processes do not apply.Minimum Qualifications - For full consideration, applicants are encouraged to upload license and/or certification if required of the position:High school diploma, GED, or equivalent experience/training.Demonstrated knowledge of medical terminology and anatomy sufficient to schedule patient exams, read patient diagnostic physicians, log patient diagnosis and research film inquiries.Complete working knowledge of Radiology practices and protocols related to appointments, medical records, and other business and office procedures.Complete working knowledge of Health Care Insurance programs such as Medi-Cal, Medicare, HMO, PPO, fee for service, and worker's compensation, sufficient to obtain and track authorizations, appoint patients, make referrals for consults, diagnostics, ancillary services, coordinate hospital admissions, complete and submit billing documentation, and explain provisions and requirements to patients.Written and oral communication skills clearly and concisely provide information, explanations and instructions to and to elicit information form others with varying levels of ability to understand, including individuals who are ill, distressed, or for whom English may be a second language.Organizing skills to establish priorities for own work within stated guidelines; respond flexibility to changes in priorities; and maintain work effectiveness in a setting with a high volume of patient and activity and frequent interruptions.Interpersonal skills to establish and maintain a friendly, welcoming environment for clinic's customers; to demonstrate an interested, understanding, compassionate and caring manner; to maintain a courteous and calm demeanor; and to use a firm and assertive approach to negotiate with and persuade others to take required action.Accomplishes a variety of concurrent assignments in an effective and efficient manner. Organize and prioritize assignments to complete assignments in a timely and efficient manner, particularly when there are changes in workload assignments, pressures of deadlines or heavy workload.Ability to present a professional appearance and manner. Ability to maintain composure, efficiently and a positive, customer-service oriented manner during periods of peak workload, with frequent interruptions, under tight deadlines, and when interacting with customers who are ill, injured, angry, or emotionally distressed.Problem solving skills to independently identify a problem: identify the resources available to solve the problem; create viable solutions and take the action necessary to implement them and follow through to ensure that the problem is resolved to the satisfaction of all parties.Decision making skills to independently exercise delegated authority to take action, and to appropriately seek assistance from others when limits of delegated authority have been reached.Knowledge of standards keyboard, ability to input/retrieve data accurately.Required to accurately enter and retrieve patient data from the Hospital Information System (IS) and IDX to include but not limited to, patient demographic and exam information, verification, status, change and amendment.Ability to effectively use computer system to create templates, enters pertinent patient information, and schedule appointments.Ability to exercise discretion to ensure that patient confidentiality is maintained and a professional, respectful clinic environment exists at all times.Filing skills to maintain logs and files of information in alphabetical, chronological, and/or numerical order, such that it is current and retrievable.Skill to quickly and accurately search, sort, and maintain color-coded, alphabetical, and terminal digit filing systems.Be oriented, skill in documentation and logging information. Ability to accurately transcribe physician orders to ensure and complete up to date patient records.Typing skills sufficient to use a typewriter and computer keyboard for timely and accurate input and production of typewritten documents.Knowledge of proper body mechanics when transferring or assisting patients; ability to safely assist patients.Ability to handle equipment and supplies such as printers and cases of paper weighing up to 25 - 50 pounds.Ability to handle confidential information such as CD's and other medical documents.Key Responsibilities:60% - REGISTRATION/RECEPTION15% - PATIENT'S VISIT COORDINATION10% - INSURANCE ADMINISTRATION10% - SUPPORT FUNCTIONS5% - PROVIDE PATIENT ASSISTANCE AS REQUIREDDepartment Overview:The Department of Radiology is a 24-hour, seven day a week operation providing Imaging Services for adult and pediatric inpatients and outpatients.