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Physician Practice Representative

4 months ago


Miami, United States KIDZ MEDICAL SERVICE. Full time
Job DescriptionJob Description

SUMMARY: This position is responsible for performing day-to-day administrative functions in a busy pediatric Genetics practice, with a primary focus on obtaining authorizations and referrals for procedures, genetic testing, drugs and office visits. This position will also be responsible for insurance verification and scheduling patient appointments including new patient appointments and follow up visits. Must have the ability to multi-task and prioritize effectively in a high-paced environment.

QUALIFICATIONS:

  • High school diploma or general education degree (GED), or 2+ years related experience and/or training, or equivalent combination of education and experience.
  • Computer skills required: Microsoft Outlook, Word, Excel and Adobe; Experience working with medical practice management software a plus.
  • Other skills required:
    1. Experience working as a patient representative.
    2. Medical insurance knowledge.
    3. Experience in requesting/submitting prior authorization for various diagnostic exams, prescriptions, etc.
    4. Professional manner and appearance.
    5. Strong interpersonal and communication skills.
    6. Meticulous attention to detail.
    7. Proficient in Microsoft Office Suite (Word, Excel, Outlook, and Access.)


COMPETENCIES:

  • Adaptability - Adapts to changes in the work environment; Manages competing demands; Changes approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events.
  • Attendance/Punctuality - Is consistently at work and on time; Ensures work responsibilities are covered when absent; Arrives at meetings and appointments on time.
  • Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments.
  • Dependability - Follows instructions, responds to management direction; Takes responsibility for own actions; Keeps commitments; Commits to long hours of work when necessary to reach goals; Completes tasks on time or notifies appropriate person with an alternate plan.
  • Ethics - Treats people with respect; Keeps commitments; inspires the trust of others; Works with integrity and ethically; Upholds organizational values.
  • Oral Communication - Speaks clearly and persuasively in positive or negative situations; listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings.
  • Organizational Support - Follows policies and procedures; Completes administrative tasks correctly and on time; supports organization's goals and values; Benefits organization through outside activities; Supports affirmative action and respects diversity.
  • Teamwork - Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Able to build morale and group commitments to goals and objectives; Supports everyone's efforts to succeed.
  • Written Communication - Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Presents numerical data effectively; Able to read and interpret written information.