Patient Services I

Lawall Prosthetics and Orthotics Services•Langhorne, PA

11h•Onsite

About The Position

The Patient Services I role is responsible for the accurate and timely preparation and processing of work orders. This includes obtaining, reviewing, and coordinating all necessary documentation such as prescriptions and physician notes. A key aspect of the role involves verifying patient insurance benefits, confirming coverage criteria, and securing prior authorizations. The individual will ensure the integrity and accuracy of patient account information, including medical coding, to facilitate proper processing and reimbursement. Communication with patients regarding insurance coverage and financial responsibility is essential. The position also requires coordination with physician offices, practitioners, and internal staff to gather missing information and prepare orders for delivery. Maintaining up-to-date knowledge of payer-specific rules and documentation requirements is crucial. The role emphasizes providing excellent customer service to patients, referral sources, and coworkers, and documenting all account activity clearly and professionally to ensure an efficient service flow from order intake to delivery. Other duties may be assigned as needed.

Requirements

Works independently
Uses good judgment
Makes sound decisions
Communicates professionally with patients, physician offices, insurance representatives, and coworkers
Works effectively in a fast-paced environment
Records information clearly, accurately, and concisely
Handles sensitive and confidential information appropriately
Meets deadlines, prioritizes tasks, and manages multiple accounts at once
Proficient in Microsoft Outlook, Word, and Excel
Organized and detail-oriented
High school graduate

Nice To Haves

Prior experience with insurance verification, prior authorizations, medical documentation, or patient service in a healthcare setting
Knowledge of anatomy and medical coding

Responsibilities

Prepare and process work orders accurately and timely
Obtain, review, and coordinate required documentation, including prescriptions, physician notes, and other supporting records needed to move orders forward
Verify patient insurance benefits, confirm coverage criteria, and secure prior authorizations or pre-certifications as required
Ensure data integrity and accuracy of patient account information, including HCPCS and ICD-10 coding, to support proper processing and reimbursement
Communicate with patients regarding insurance coverage, financial responsibility, and next steps in the process
Coordinate with physician offices, practitioners, and internal staff to obtain missing information and ensure orders are ready for delivery
Maintain knowledge of payer-specific rules, documentation requirements, and authorization procedures
Ensure orders are properly documented and meet company and insurance requirements prior to delivery
Provide excellent customer service to patients, referral sources, and coworkers
Document account activity clearly, accurately, and professionally
Help maintain an efficient flow of service from order intake through readiness for delivery
Complete other duties as assigned