What You Will Do:
University of Maryland Medical Center (UMMC) has achieved Magnet status in recognition of the hospital nursing excellence. UMMC is a teaching hospital with 757 beds based in Baltimore, Maryland, that provides the full range of health care. It has more than 35,000 inpatient admissions and 165,000 outpatient visits each year. The R Adams Cowley Shock Trauma Center (also known as Shock Trauma) is the world's first center dedicated to saving lives of people with severe, life-threatening injuries sustained in motor vehicle collisions, violent crimes and other traumatic incidents. Our vision is to provide high value and compassionate care, improving health in Maryland and beyond, educating future health care leaders and discovering innovative ways to advance medicine worldwide.
Be Part of Something Greater!
The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.
1. Greets patients courteously and promptly. Ensures all patients are registered in IDX and STAR and that all demographic information is updated.
2. Verify patient insurance information and update in IDX and STAR systems. Ensures all patients paperwork is correct and put in the patients chart for the physicians.
3. Batch up encounters and process for the billing department daily. Reconcile charges on a daily basis.
1. Performs all data entry, ICD-9 CM coding of outpatient referrals. Review all outpatient referrals for benefit coverage, eligibility and appropriate providers for various managed care contracts in timely and efficient manner.
2. Serve as a contract resource for Center providers and staff. Attend meetings and managed care training sessions as necessary to support managed care contracts
3. Answer telephone referral requests and coordinate authorization process with payers and providers. Review pending claims for authorization and coordinate resolution of payment with Center Manager.
4. Maintain adequate supply of referral forms and manuals to meet the needs of patients and staff.
1. Gathers and documents patient reported reason for visit/chief complaint in the medical record. Follows established guidelines to obtain necessary testing based on the chief complaint prior to the exam. Prepares patient for examination by the health care provider. Functions within clinical scope of practice depending upon level of certification.
2. Performs routine office testing including; urinalysis, vision testing, hearing screening, pulmonary function testing, temperature, pulse and blood pressure according to scope of practice. Obtains necessary blood and urine specimens as ordered by provider.
3. Assists provider with procedures and minor surgical procedures. Administers and documents injections and other medications given (medical assistants only). Sterilizes all reusable instruments and equipment as needed.
4. Assists provider with clarification of patient instruction such as, diagnostic test preparation, and medication administration.
5. Maintains necessary supplies in clinical area.
6. Assists with room turnover, stocking, running of errands and patient transport as indicated.
Medical Records Function:
1. Assembles patient medical records, portions of medical records and loose reports/documents in pre-established filing order preparing them for filing according to specific hospital guidelines. Files individual patient reports into appropriate medical records.
2. Files medical records in the established order, generally terminal digit, in the appropriate file locations.
3. Assigns medical record numbers for new patient records by searching for old/existing medical record number or creating a new one.
4. Handles, and refers as appropriate, telephone calls and walk-in requestors, e.g. visitors, patients and physicians requesting medical record information, and correspondence information.
What You Need to Be Successful:
High School Diploma or equivalent (GED).
Completion of an accredited Medical Assistant program. Nursing Assistant Certification will be accepted in lieu of the Medical Assistant course certificate.
Additional course work in medical terminology, data entry, and ICD-9 CM coding preferred.
One years experience in a managed care environment with an additional one years experience in a physician practice.
CPR certification is required.
We are an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.