Phone Triage

St. Paul, MN
Posted 3 weeks ago

Minnesota Epilepsy Group is the largest and most comprehensive adult and pediatric epilepsy program in the Midwest. As a regional referral facility, we are the recognized leader in treating epilepsy and other seizure-related conditions in infants to the elderly. We are a national, state-of-the-art, Level 4 epilepsy center committed to enhancing each patient’s quality of life and maximizing seizure control.  We are seeking a detail-oriented, organized medical coder/biller to join our team.  In this position, you will play a key role in accurately coding and billing healthcare claims in order to obtain reimbursement from insurance companies and government healthcare programs.

Major Accountability: Responsible to the Practice Operations Manager to deliver quality, safe patient care in an ethical manner. Coordinate care with nurse clinicians, patient coordinators, adult, and pediatric physicians to deliver friendly, safe, and customer service-oriented nursing care.

Major Duties and Responsibilities:

  • Work in collaboration with pediatric and adult nurses to coordinate care for a specific caseload of patients through phone contact.
  • Maintain current licensure and basic life support certification.
  • Utilize standing orders to manage refill requests per protocol and functions as a liaison between patients, physicians, pharmacy and staff in the management of prescription refill requests.
  • Utilize techniques of therapeutic communication with patients and families of various social, cultural, economic and educational backgrounds.
  • Receives and provides immediate responses to inquiries and patient referrals. Establishes immediate relationship between referral sources and the clinic.
  • Interfaces with hospital departments and physicians to facilitate admission process.
  • Evaluates financial reimbursement for proposed hospitalization and intervention and obtains pre-certification for intervention.
  • Provides overview of services to be provided during hospitalization to patients, families, payers and referral sources.
  • Notifies payer of admission and expected course of treatment and assigns initial length of stay in accordance with standards of care criteria as outlined in utilization.
  • Tracks data regarding intake and referral sources.
  • Review patient records to complete a variety of forms and requests (DMV, school, prior authorization) with accurate and timely medical information.
  • Maintain and enhance current nursing and sub-specialty knowledge base and skill through continuing education.
  • Develop and maintain positive working relations with all MEG employees and other departments as a responsibility in fulfilling all job functions.

Education/Licensure

  • High School diploma.
  • Certification from the American Association of Medical Assistants.
  • L.P.N. degree from an accredited college.

Position Requirements:

  • Will consider new graduate. Experience with patient scheduling, patient intake, registration preferred. Prior medical, neurology, specialty care experience preferred.

Essential Functions:

  • Ability to effectively communicate in English both oral and written formats.
  • Ability to be detailed oriented.
  • Ability to work independently and exercise good judgement as it relates to patient care issues.
  • Ability to remain calm and maintain professional behavior in stressful situations.
  • Ability to bend, stoop, twist, and lean multiple times per day.
  • Ability to provide first line intervention for seizure occurrences and/or interrupt patient engaging in dangerous or aggressive behaviors.
  • Ability to maintain effective working relations with varied levels of individuals. For example a range could be a patient to referring physician.
  • Maintain confidentiality/privacy as described in MEG’s policies and as described by HIPPA.
  • Abide by security rules as defined by MEG’s policies and as described by HIPPA.

This job description is not intended to be all-inclusive and may be expanded to include other duties and responsibilities that management may deem necessary from time to time.

Minnesota Epilepsy Group PA is an Equal opportunity employer.

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Because we do business with the State of Minnesota (Medical Assistance Reimbursement), we must reach out to, hire, and provide equal opportunity to qualified people with disabilities. Completing this form is voluntary. If you are applying for a job, any answer you give will be kept private and will not be used against you in any way. If you already work for us, your answer will not be used against you in any way. Our company is an Equal Employment Employer and as such, we are required to collect and maintain information related to applicant and employees in order to meet record keeping and reporting requirements and to monitor the effectiveness of our outreach, recruitment and other employment practices.