PT Medical Reception/Insurance Verification Specialist

ORTHOCINCY•Edgewood, KY

5h•Onsite

About The Position

Responsible for performing a variety of clerical duties and responsible for insurance verification for patients with medical or auto insurance as well as authorizations. This role involves greeting, scheduling, and directing patients, handling phone calls, managing electronic health records, obtaining prior authorizations, maintaining the practice management system, collecting payments, and ensuring compliance with HIPAA, OSHA, and safety standards.

Requirements

High school diploma or equivalent.
Minimum one year of experience in a customer service position, preferably in a medical practice setting.
CPR/AED and First Aid certification.
Schedules will change as department needs change, including overtime.
Travel as needed.
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.
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.
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.

Nice To Haves

Previous medical assisting knowledge preferred.

Responsibilities

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.
Answers phone calls, takes messages, fax, scan, etc.
Verifies that all forms, test results, and other paperwork are in the electronic health record system according to physician and office protocol.
Obtains prior authorization for patients and verifies all insurance based on patient schedules, practice management systems and insurance websites for non-automated insurances.
Obtains, verifies, and updates patient information and provides support services to patients and medical staff.
Maintains the practice management system.
Collects payments for services rendered per policy, including copayments and balances on patient accounts.
Performs daily drawer balancing.
Obtains referral from the Primary Care Physician for insurances that require referrals and contacts patient regarding missing referrals or inactive insurance coverage.
Verifies auto and liability eligibility with insurance carriers. Ensures all auto and/or liability forms are completed and received and compares with the schedule. Uses these forms to record verification information and file in the chart.
Ensures 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.