PT Med Reception/Ins. Verification Specialist

4 weeks ago

Chester Cheshire, United Kingdom Commonwealthorthocenters Full time

Description

General Job Summary: Responsible for performing a variety of clerical duties and responsible for insurance verification for patients with medical or auto insurance as well as authorizations.

Essential Job Functions:

  • 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.
  • Responsible for performing a variety of clerical duties: answers phone calls, takes messages, fax, scan, etc.
  • Verify that all forms, test results, and other paperwork are in the electronic health record system according to physician and office protocol.
  • Obtain prior authorization for patients and verify all insurance based on patient schedules, practice management systems and insurance websites for non-automated insurances.
  • Obtain, verify, and update patient information and provides support services to patients and medical staff.
  • Maintain the practice management system.
  • Collect payments for services rendered per policy, including copayments and balances on patient accounts.
  • Daily drawer balancing.
  • Obtain referral from the Primary Care Physician for insurances that require referrals and contact patient regarding missing referrals or inactive insurance coverage.
  • Verify auto and liability eligibility with insurance carriers. Ensure all auto and/or liability forms are completed and received and compare with the schedule. Use these forms to record verification information and file in the chart.
  • 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.

Requirements

Education/Experience:

  • High school diploma or equivalent.
  • Minimum one year of experience in a customer service position, preferably in a medical practice setting. Previous medical assisting knowledge preferred.
  • CPR/AED and First Aid certification.

Other Requirements: Schedules will change as department needs change, including overtime. Travel as needed.

Performance Requirements:

Knowledge:

  • 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.

Skills:

  • 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.

Abilities:

  • 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.

Equipment Operated: Standard office equipment.

Work Environment: Medical Office.

Mental/Physical Requirements: Sitting about 90% in front of a computer screen. Fast paced high productivity environment.

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