ASC PAR IV

ESSENTIAL FUNCTIONS INCLUDE BUT ARE NOT LIMITED TO:

1. Interpret and communicate information regarding credit policies and procedures, billing

practices, insurance submissions and out-of-pocket patient responsibility to patients, physicians

and ASC staff. Inform self-pay patients of their financial obligations and options.

2. Serve as a liaison between the ASC and the central Business Office.

3. Verify eligibility and benefits for patients; set up payment plans as necessary.

4. Ensure accurate account information in all billing areas. Obtain correct information and update

system when billing information is incorrect or missing.

5. Work with ASC and business office management to facilitate and monitor implementation of

appropriate business office policies and procedures.

6. Check charge tickets for correct coding and enter charges within 24 hours.

7. Resolve account discrepancies by auditing account detail.

8. Reconcile missing charge ticket report on a daily basis. Approach physicians/providers to get

charges in on a daily basis.

9. Effectively process patient and ASC correspondence, including requests for refunds and

collections when warranted.

10. Respond to inquiries from patients, physicians and employees to assist in the claim payment

process, billing, registration or establishment of payment plans.

11. Conduct training with physicians and ASC staff regarding Business Office policies, procedures,

coding, registration, and use of ASC billing system.

12. Communicate with patients prior to surgery the need for and amount of payment required by

patient.

13. Must have an understanding and/or basic knowledge of all the duties of other ASC front office

functions, including the ability to perform the jobs as needed.

ADDITIONAL RESPONSIBILITIES:

1. Oversee the processing of all clerical records and information with ASC patients including

cashiering, encounter forms, etc.

2. Work as a team member within all other departments in a collaborative, constructive manner.

3. Provide timely and accurate reports for management as requested

4. Finalize medical record review for completeness and standard order.

5. File medical records, reports and dictation according to TDC protocol

6. Execute release of medical records following Washington State law.

7. Scheduling of surgical cases as needed.

8. Other duties as assigned.

QUALIFICATIONS:

Education:

High school diploma or equivalent. Associates Degree in Business preferred.

Certification/Licensure: CPC preferred.

Experience:

Minimum 5 years experience in health care environment including minimum of 3 years experience in patient accounts, preferable in an ambulatory surgery setting.

Skills:

Ability to communicate in the English language in person, by phone and in writing in a clear, concise and professional manner.
Ability to resolve problems with minimal assistance.
Must possess CPT and ICD coding skills as well as familiarity with surgical operating policies and procedures, insurance industry practices.
Must possess excellent analytical skills including the ability to collect data from a variety of sources and combine to present a comprehensive summary.
Medical terminology required.
Must be proficient in computer skills including the ability to work with spreadsheet and word processing software.
Strong organizational and interpersonal skills.
Excellent verbal communication skills. Ability to independently write correspondence appropriate for mailing to patients and insurance companies or other third parties.
Ability to professionally represent The Doctors Clinic and surgery center’s interests and patient concerns with parties outside of the clinic setting.
Ability to provide leadership to others to accomplish a goal.

Other Requirements:

1. Must be available to work various shifts as assigned

2. Ability to multi-task efficiently and effectively.

3. Must be able to act calmly and effectively in all situations.

4. Requires adherence to all policies and procedures.

5. Must be able to establish and maintain effective working relationships with managers and peers.

Physicial Requirements:

Hearing: Adequate to perform job duties in person and over the telephone.

Speaking: Must be able to communicate clearly in person and over the telephone.

Vision: Visual acuity adequate to perform job duties, including reading information from printed sources and computer screens for long periods of time without eye strain or stress.

Other: Requires sitting for extended periods of time. Requires manual dexterity to operate office equipment. Requires frequent bending, reaching, repetitive hand movements, standing, walking and squatting, with some lifting, pushing and pulling exerted regularly throughout a regular work shift.

THE DOCTORS CLINIC IS AN EQUAL OPPORTUNITY EMPLOYER

Last update: 1/17/2005