Patient Services Representative 3

Medical Office Service Coordinator

The incumbent plays an integral role in triaging and scheduling patient procedures for the department as well as coordination of exams and appointments with other ancillary services, other departments of the hospital, and outside facilities. This person provides support and communicates directly with patients, referring clinics, physicians, nursing and technical staff. The incumbent is responsible for ensuring proper insurance authorization is in place and must have a thorough knowledge of medical terminology, ICD9 and CPT codes and the ability to abstract pertinent information from the patient's medical record. The incumbent must possess computer skills to operate multiple computer programs. Incumbent works independently and work is referred to his/her supervisor only when standard procedures or processes do not apply. This posting is a Transfer/Promotional opportunity for UCD/UCDHS Employees (internal candidates). Applications from current UCD/UCDHS employees will be considered first. Applications from the public/external candidates may be considered if an internal candidate is not selected as the most qualified applicant.

Minimum Qualifications - For full consideration, applicants are encouraged to upload license and/or certification if required of the position:

• High School/ GED equivalent or related work experience
• Experience with practices and protocols related to medical office and/or health care scheduling or insurance procedures, i.e., medical terminology, appointments, medical records, insurance verification, cashiering, and billing.
• Experience using various computer system applications for all functions required for this position, including electronic mail, spreadsheets, word processing, and medical office management, i.e., scheduling, data, and template maintenance.
• Experience performing similar duties within a healthcare setting.
• Knowledge of all pertinent laws, regulations, and guidelines governing medical records; confidentiality, privacy, and provision to others, including HIPAA.
• In depth knowledge of health care insurance systems, which may include Medi-Cal, MediCare, HMO, PPO, fee-for-service, county funded coverage, and workers' compensation, sufficient to properly obtain and track authorizations, appoint patients, make referrals for consults, diagnostics and ancillary services, coordinate hospital services, complete and submit billing documentation, and explain provisions and requirements to patients.
• Knowledge of ICD-9, CPT and HCPCS coding guidelines sufficient to accurately identify services performed, including diagnoses, procedures, and supplies.
• Knowledge of practices and protocols related to medical office procedures, (i.e. medical terminology, appointments, medical records, insurance verification, cashiering, billing, etc.)
• Ability to accomplish a variety of concurrent assignments in an effective and efficient manner, demonstrating ability to organize, prioritize and complete assignments in a designated time frame.
• Ability to adjust to changing workload or assignments and pressures of increased workload or deadlines.
• Problem solving skills to independently define a problem identify the resources available to help solve the problem, create viable solutions and take the necessary action to implement problem resolution and ensure prompt and satisfactory resolution.
• 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.
• Interpersonal skills to establish and maintain effective working relationships with all co-workers; to consistently interact with patients and other members of the public with patience, courtesy and professionalism, both in person and on the telephone; and to effectively respond to individuals who may be angry or upset.
• Typing skills sufficient to use computer keyboard for timely and accurate input and production.
• Writing skills, using proper English grammar, spelling and punctuation, sufficient to compose messages and/or routine correspondence, which is clear, concise and easy to understand.
• Bookkeeping skills sufficient to maintain accurate records of patient financial transaction, prepare related financial reports, balance cash box, and prepare deposits.
• Organizing skills to establish priorities for own work within stated guidelines; respond flexibly to changes in priorities; and maintain work effectiveness in a setting with a high volume of patient activity and frequent interruptions.

Key Responsibilities:

• 50% - Computer System Operations, Scheduling, Referral/Authorization
• 30% - Additional Job Functions
• 20% - Telephone Coordination & Scheduling

Department Overview: Interventional Radiology provides a wide range of complex services for Neuro Interventional and Vascular and non-Vascular Interventional Radiology procedures that require extensive pre-procedural work-up and post-procedural follow through.

Position Information:

• Salary or Pay Range: $ 29.46 - $36.63
• Salary Frequency: Hourly
• Salary Grade: 266
• UC Job Title: MED OFC SVC CRD 3
• UC Job Code: 009214
• Number of Positions: 1
• Appointment Type: Staff: Career
• Percentage of Time: 100 %
• Shift (Work Schedule): 08 Hours
• Location: Ellison Ambulatory Care Center (HSP098)
• Union Representation: EX-Patient Care Technical
• Benefits Eligible: Yes

This position is 100% on-site