About The Position

Reports directly to the Practice Manager and serves as a key point of contact for patients, providers, and staff. Responsible for scheduling patient appointments, completing patient registration and admission processes, obtaining demographic and financial information, verifying insurance coverage, securing referrals and authorizations, resolving billing issues, and providing exceptional customer service. This role serves as a liaison between patients, nurses, physicians, and other healthcare team members to ensure a positive patient experience and efficient clinic operations.

Requirements

  • High School Diploma or GED required.
  • Minimum of two (2) years of experience in a clinical office, insurance, patient registration, front desk, or other healthcare-related setting with extensive patient registration and insurance experience.
  • Knowledge of insurance plans, referral processes, and authorization requirements.
  • Ability to obtain authorizations and pre-certifications from insurance carriers.
  • Strong decision-making and problem-solving skills.
  • Excellent attention to detail and organizational abilities.
  • Strong verbal and written communication skills.
  • Basic arithmetic and cash-handling skills.
  • Data entry proficiency and computer skills.
  • Ability to prioritize tasks and manage workflow effectively.
  • Ability to handle stressful situations professionally while maintaining excellent customer service.
  • Skilled in conflict resolution and relationship building.

Nice To Haves

  • Two to four years of clerical and customer service experience, preferably in a healthcare setting.
  • Experience working with third-party payors.
  • Experience entering and reviewing patient demographic information.
  • Knowledge of ICD-9 and CPT coding.
  • Completion of a medical terminology course.

Responsibilities

  • Schedule and coordinate patient appointments according to established guidelines.
  • Interview patients and complete pre-registration, registration, and admission processes.
  • Verify insurance eligibility, benefits, referrals, authorizations, and pre-certifications.
  • Process referral requests and obtain authorization numbers within required timeframes.
  • Receive, direct, and respond to incoming telephone calls.
  • Communicate effectively with patients, providers, insurance companies, and internal departments.
  • Collect co-payments and perform cashiering functions as needed.
  • Enter patient dispositions, diagnostic codes, charges, payments, and related information accurately.
  • Resolve outstanding billing and registration issues.
  • Maintain accurate patient records and demographic information.
  • Perform routine clerical and administrative duties to support clinic operations.
  • Provide outstanding customer service and create a welcoming environment for patients and visitors.
  • Perform other duties as assigned within the scope of the position.

Benefits

  • Join a team dedicated to delivering exceptional patient care and service.
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