PT Med Reception/Ins. Verification Specialist
3 weeks ago
Full-time
Description
General Job Summary: Responsible for performing a variety of clerical duties and responsible for insurance verification for patients with medical or auto insurance as well as authorizations.
Essential Job Functions:
- Greets, screens, schedules, and directs patients/visitors to appropriate areas and demonstrates excellence with respect to treating and caring for customers in-person and over the phone.
- Responsible for performing a variety of clerical duties: answers phone calls, takes messages, fax, scan, etc.
- Verify that all forms, test results, and other paperwork are in the electronic health record system according to physician and office protocol.
- Obtain prior authorization for patients and verify all insurance based on patient schedules, practice management systems and insurance websites for non-automated insurances.
- Obtain, verify, and update patient information and provides support services to patients and medical staff.
- Maintain the practice management system.
- Collect payments for services rendered per policy, including copayments and balances on patient accounts.
- Daily drawer balancing.
- Obtain referral from the Primary Care Physician for insurances that require referrals and contact patient regarding missing referrals or inactive insurance coverage.
- Verify auto and liability eligibility with insurance carriers. Ensure all auto and/or liability forms are completed and received and compare with the schedule. Use these forms to record verification information and file in the chart.
- Compliance with HIPAA, OSHA, and safety standards of the organization.
- Performs other duties that may be necessary or in the best interest of the practice.
Requirements
Education/Experience:
- High school diploma or equivalent.
- Minimum one year of experience in a customer service position, preferably in a medical practice setting. Previous medical assisting knowledge preferred.
- CPR/AED and First Aid certification.
Other Requirements: Schedules will change as department needs change, including overtime. Travel as needed.
Performance Requirements:
Knowledge:
- Knowledge and proper use of office equipment.
- Knowledge of practice management and electronic health records systems.
- Knowledge of HIPAA regulations.
- Knowledge of current terminology and anatomy.
- Knowledge of how to obtain insurance benefits and insurance reimbursement policies.
Skills:
- Skilled in communicating effectively with providers, staff, patients and vendors.
- Use of a practice management software system. Accuracy in data entry.
- Detailed-oriented with excellent investigational/research skills.
- Excellent organizational and multi-tasking skills.
- Excellent adaptability skills.
- Basic math skills.
Abilities:
- Ability to multi-task and analyze situations to respond appropriately.
- Ability to use math skills to accurately complete daily balancing and provide accurate change to the patient.
- Ability to work effectively and deal courteously with patients, staff, and others.
- Ability to organize work environment and work load to meet needs of the organization.
- Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.
- Ability to accurately examine, understand and enter insurance documents.
- Ability to work independently with minimal or no supervision.
Equipment Operated: Standard office equipment.
Work Environment: Medical Office.
Mental/Physical Requirements: Sitting about 90% in front of a computer screen. Fast paced high productivity environment.
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