Medical Practice Representative II

University of Maryland Faculty PhysiciansBaltimore, MD

About The Position

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. ESSENTIAL FUNCTIONS Demonstrates knowledge of FPI and its practices, including payer contracts, policies and best practices. Exhibits mid-level of 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 encounter, 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.

Requirements

  • 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

Nice To Haves

  • Medical terminology preferred

Responsibilities

  • Performs various front desk and clerical duties in a medical office
  • Complete demographic and insurance registration
  • Charge entry
  • Scheduling patients and/or verifying insurance information
  • Demonstrates knowledge of FPI and its practices, including payer contracts, policies and best practices
  • Manages provider schedules and scheduling appointments accurately and effectively
  • Communicates 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
  • Collects co-payments, outstanding balances and posting accurately and efficiently in GE Front Desk Credit Card Module
  • Obtains/verifies patient demographic and insurance information
  • Maintains Registration Certification
  • Enters accurate information in the GE Practice Management System
  • 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
  • Inputs information into the IDX scheduling system

Benefits

  • Supports our employees' health, life, career and retirement

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Education Level

High school or GED

Number of Employees

101-250 employees

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