About The Position

The Pre-Registration Assistant obtains complete and accurate patient demographics, insurance plan and benefits information, and ensures treatment authorization is secured in advance while providing excellent customer service to the patient.

Requirements

  • High School Diploma/Equivalent
  • 0-1 year Medical Office, Insurance, Billing/Registration

Nice To Haves

  • 1 year of Medical Customer Service or Registration experience.
  • Medical Terminology and Medical Insurance terminology with emphasis on referral and pre-certification

Responsibilities

  • Gathers complete and accurate patient demographic and financial information. Verifies/ identifies insurance plans and obtains benefit information. Interacts with patients and insurance companies over the phone and solidifies patient arrival time for the appointment with the patient.
  • Reviews insurance eligibility information and notates account accurately with co-pay and deductible information.
  • Verifies that the procedure and diagnosis code is the same procedure and diagnosis code as the test ordered.
  • Verifies all authorizations by contacting the insurance company or using online tools.
  • Responsible for reading and interpreting a completed physician order (written or electronic) for appropriate handling.
  • Screens for LMRP’s and identifies when an ABN is required and how to deliver/explain in detail ABN/LMRP process to the patient as well as the need to obtain a signature for service or gather a new order from the physician’s office that will meet medical necessity.
  • Completes Medicare Secondary Payer Questionnaire (MSP) on every Medicare patient.
  • Operate all essential departmental equipment, maintain adequate supplies at desk and keep work area neat and clean.
  • Responsible to maintain a three-day window; having all patients registered, insurance verified, pre-certed, completed etc., for those patients that have scheduled appointments.
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