Practice Representative

Georgia Eye Institute of the Southeast LLC•Hardeeville, SC

21d•Onsite

About The Position

The Practice Representative is responsible for collecting and inputting patient demographic information to create and maintain medical records, facilitating the billing process with accurate demographic and payer details.

Requirements

High school diploma or equivalent required; associate’s or bachelor’s degree in healthcare administration or related field preferred.
Previous experience in a medical office, ophthalmology practice, or healthcare setting preferred.
Strong customer service and interpersonal skills.
Proficiency in electronic health records (EHR) and medical billing systems.
Knowledge of insurance verification and prior authorization processes.
Excellent organizational skills and ability to multitask in a fast-paced environment.
Strong verbal and written communication skills.
Ability to work collaboratively with patients, staff, and healthcare providers.

Responsibilities

Place outbound calls and/or conduct online research to verify insurance coverage and eligibility before new patient appointments.
Obtain necessary managed care referral guidelines.
Inform patients of pending insurance referral/authorization requirements based on appointment type.
Ensure required patient referral/authorizations are received before the appointment.
Confirm appropriate insurance benefit plans based on the patient’s appointment needs.
Collect patient deductibles, co-pays, and co-insurance as applicable.
Provide cash rate estimates for patients before their visits.
Process daily insurance and consultation paperwork, including data entry and updating notes.
Utilize practice management systems to manage pending appointments.
Accurately register patient demographics in the system, including insurance and authorization details.
File documents in electronic medical records as required.
Perform additional administrative tasks as assigned.