Practice Representative - Pooler

2022-09-24
Full Time

Description

The Practice Representative position is responsible to collect and input patient demographic information for the creation and/or maintenance of a medical record to facilitate the billing process as it relates to demographic and payer information.

The candidate should be able to:

  • Place outbound phone calls and/or conduct an internet lookup to insurance companies (or their website) to verify coverage and eligibility statuses prior to new patient appointments, to include obtaining any necessary managed care referral guidelines
  • Communicate to patient any pending insurance referral/authorization requirements based on the appointment type
  • Ensure required patient referral/authorizations are received prior to releasing patient for visit
  • Complete and confirm determining if the selected insurance benefit plan is appropriate based on patient?s appointment need
  • Collecting patient deductibles, co-pays and co-insurance, as appropriate for the visit; collecting cash rate patient?s visit estimate prior to the visit
  • Process daily insurance and consult paperwork to include data entry of verified insurance and updating notes
  • Utilize practice management system to obtain pending appointments
  • Interview patients for accurate demographic registration into practice management system, to include inputting complete insurance and/or authorization data
  • Files documents in electronic medical record, as required
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