Medical Practice Representative II-Neurosurgery
3 weeks ago
Performs various front desk and clerical duties in a medical office including such functions as complete demographic and insurance registration, charge entry, scheduling patients and/or verifying insurance information; and other duties as assigned.
Encompass the Departments Core Values:
- Patients first
- Always do the right thing
- Leave it better than you found it
- Drive at Mastery
EDUCATION and/or EXPERIENCE
* High school diploma or general education degree (GED) preferred
* Two to three years medical office experience
* General understanding and application of basic accounting principles.
* PC proficiency
* Strong customer service skills
* Accurate data entry skills
* Current knowledge of payer requirements for referrals and pre-authorization.
* Knowledge of GE, EPIC or similar computerized billing system
* Medical terminology preferred
ESSENTIAL FUNCTIONS
- Demonstrates knowledge of FPI and its practices, including payer contracts, policies and best practices.
- Exhibits mid-level skill in managing provider schedules and scheduling appointments accurately and effectively, including communicating patient responsibilities (obtaining a referral, bringing a co-pay, presenting identification and an insurance card at check-in) and other events as part of the practice pre-visit activities.
- Demonstrates the ability and understanding of FPI policy for cash collection and patient encounters, including collecting co-payments, outstanding balances and posting accurately and efficiently in GE Front Desk Credit Card Module.
- Demonstrates a working knowledge of the revenue cycle as it relates to patient encounters and obtaining/verifying patient demographic and insurance information in order to receive payment for services rendered.
- Maintains Registration Certification to include entering accurate information in the GE Practice Management System and exhibiting a high level of understanding payer categories and Registration FSCs.
- Schedules patients for evaluations, re-evaluations and treatment. Accepts referrals from social workers, discharge planners, physicians and physicians’ offices.
- Obtains and inputs all pre-authorization insurance and pertinent demographic information. Information is input into the IDX scheduling system.
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