About The Position

Ensures revenue cycle optimization by accurately verifying insurance eligibility, capturing insurance data, entering patient demographic information, collecting co-payments, and completing referrals and authorizations in a timely manner. Greets and registers patients, obtains and accurately records patient information through the registration process to ensure proper record for all services received.

Responsibilities

  • Reviews 2-3 business days prior to visit the 'Eligibility and Phone List' report to verify patient information and correct discrepancies as appropriate.
  • Works those patients still needing verification; noted by unverified or ineligible insurance.
  • Looks up/verify co-pay amounts from eligibility screens and documents in patients account.
  • Maintains payer website access for multiple payers, utilizing sites for verification required outside of PM system.
  • Validates reason for visit is selected.
  • Identifies self-pay patients.
  • Identifies patients that need a form filled out.
  • Accurately completes registration and enters patient demographics & insurance(s) into PM/EHR system.
  • Scans insurance card and driver's license into Athena.
  • Obtains completed consent to treat, HIPAA, and release of information forms from patient.
  • Explains co-pays, deductibles, co-insurance, account balances and other payment elements to patients as appropriate; refers patients to financial services staff, as needed.
  • Proactively records patient email address for patient portal registration and educates patients on usage of patient portal, and confirms patient care summary preference.
  • Collects co-payments and any outstanding balances at patient check-in and check-out, as applicable.
  • For provider based locations, provides Medicare & Medicaid patients with Notice of Beneficiary Co-Insurance Letter.
  • Works tasks or worklists to fix any patient information that impedes the billing process.
  • Performs all front office and revenue cycle assignments.
  • Creates time of service batch and links to daily deposit batch.
  • Reconciles balances and closes batch/drawer at end of day.
  • Submits batches to designated resource.
  • Verifies primary care provider (PCP) per insurances and eligibility, if required, prior to scheduling patients for office visits.
  • Documents reason for visit.
  • Schedules, cancels or reschedules patient appointments in accordance with office-based scheduling guidelines.
  • Maintains and updates patient appointment activity to ensure that schedule is optimized.
  • Greets patients and visitors professionally and warmly (with a smile) using AIDET principles.
  • Ensures open communication with office staff by logging into all appropriate systems.
  • Utilizes PM/EHR texting for real-time communication.
  • Ensures waiting room area is neat and organized.
  • Obtains authorization from insurance companies to verify PCP, PCP authorization for specialty care, etc. prior to service.
  • Obtains authorizations from insurance companies for procedures, consultations, etc. prior to service.
  • Scans and prints requested medical records in and out of PM/EHR system.
  • Labels all documents in PM/EHR system per organizational policy.
  • Collaborates with practice leadership to complete other duties deemed essential for the practice and performs other related duties as assigned.

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What This Job Offers

Job Type

Part-time

Industry

Religious, Grantmaking, Civic, Professional, and Similar Organizations

Number of Employees

5,001-10,000 employees

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