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Patient Service Rep
2 months ago
$16-$18/HR, DOE | Experience with chemotherapy a plus***
Under general supervision, is responsible for insurance verification and eligibility, assessment of patient financial requirements, counseling patients on insurance benefits and co-payments. Obtains preauthorization of services. Obtains and maintains accurate patient demographics.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Requires competency in a minimum of (2) Modalities of treatment/services rendered in our facility and requiring authorization review (Modalities include: Radiology/Chemotherapy/Radiation/Genetic Testing)
Ensures all insurance, demographics, and eligibility information obtained is communicated to staff as needed entered into the system in a timely and accurate manner
Perform insurance verification and benefits using electronic billing system, online portals, and direct dial to insurance carriers
Performs insurance verification and benefit requirements on all applicable services
Obtains initial and subsequent preauthorization as required by insurance and enters in the practice management system as needed for flow to billing in addition to scanning hard copy of referral into chart.
Ensures appropriate signatures are obtained from patients and/or Physicians on all necessary forms.
Communicate authorization status where applicable to ordering physician, clinical staff and patient
Utilizes the Summary of Patient Reimbursement and Liability form and Waivers as necessary
Performs financial counseling process on all patients prior to treatment, which includes patient financial obligations, billing practices and establishing payment arrangements
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* Teach patients to use home health care equipment.
* Collect and report data on topics, such as patient encounters or inter-institutional problems, making recommendations for change when appropriate.
* Identify and share research, recommendations, or other information regarding legal liabilities, risk management, or quality of care.
* Analyze patients' abilities to pay to determine charges on a sliding scale.
* Provide consultation or training to volunteers or staff on topics, such as guest relations, patients' rights, or medical issues.
* Develop and distribute newsletters, brochures, or other printed materials to share information with patients or medical staff.
* Read current literature, talk with colleagues, continue education, or participate in professional organizations or conferences to keep abreast of developments in the field.
