Patient Access Representative/Receptionist |
| Location: | Crawfordsville, IN |
| Salary Range: | -- |
| Exempt/Non-Exempt: | Non-Exempt |
| Benefits: | Benefit Eligible |
| Type: | Full-Time |
| Facility: | Athens Medical Group |
| Description: | The Athens Orthopedic Patient Access Representative/Receptionist performs a variety of duties in registration and scheduling, phone receptionist, and administrative filing.
This position is Full Time - 40 hours a week on day shift. |
| Duties: |
Patient Eligibility and Benefit Status
- Checks next day schedule to determine insurance and pre-cert status of incoming patients.
- Re-checks status of each Medicaid patient at each visit and updates accounts as changes arise.
- Assists department with questions related to registration.
- Verifies insurance eligibility and benefit status of patients after registration.
- Troubleshoots roadblocks to reimbursement and keeps up with Medicare/Medicaid website bulletins.
Pre-Certification
- Contacts appropriate insurance entity to determine needs and requirements for pre-certification.
- Provides copies of initial evaluations, scripts and progress reports to pre-certing agencies including commercial insurance or Medicaid agencies as needed to receive authorization for treatment.
- Assists in tracking pateint visits and time allotments.
- Scans all authorization records in HPF.
- Maintains each parent account updated as visits are approved.
Assists Patients
- Responds to all incoming phone calls and questions.
- Assists patients with various billing questions on an individual basis.
- Assists with insurance questions and number of visits allowed.
- Notifies patients when authorizations are completed either by a telephone call or written communication.
- Performs routine filing and other administrative duties as needed.
- Assures patient satisfaction
- Assists with office supplies needs.
- Assists with patients with insurance admitting questions.
Works Patient Denials
- Works Caremedic accounts as needed to assist CBO with denials.
- Obtains retro authorizations for patients as required.
- Provides Notary services as requested.
- Provides education regarding documentation necessary for optimal reimbursement.
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| Qualifications: | Intermediate computer knowledge and skills including Microsoft Office.
Knowledge of insurance, Medicare and Medicaid processes.
Excellent written and verbal communication skills.
Ability to work with diverse groups including physicians, therapists, patients, and families.
Minimum Position Qualifications
High school diploma or equivalent required.
Prior experience in a Hospital/Physician Office.
Related position is preferred.
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