Medical Receptionist - Insurance Verification Specialist

Job Description

Job Description

Job Title : Front Desk Administration - Insurance Verification

Location : Assigned Office

Travel Required : Occasional - Regional

Position Type : Full Time

Job Description : To serve patients by greeting and helping them, while facilitating efficient and timely entry into the office’s setting.

To support the overall administrative functions of the office with the end goal of providing excellent patient care and quality customer service.

Role and Responsibilities

Administrative

• Greets all patients in a professional, friendly manner
• Answers phones within a maximum of 3 rings; schedule appointments
• Verifies and scans insurance cards and driver’s license
• Hands out appropriate literature and information forms to be filled out by the patient; checks for accuracy and completion
• Reviews patient benefits and eligibility at check-in and check-out
• Enters accurate patient demographic and financial information
• Runs insurance eligibility to ensure active and if a referral / auth is needed
• Obtains referrals / authorizations if required by insurance prior to the patient being seen
• Collects appropriate payments and balances owed by patients
• Enters charges and payments into billing system
• Scans encounters / clinical / op -notes into the system
• Schedules follow up appointments
• Works no show, cancellation and recall reports
• Ensures full utilization of the Provider’s schedules
• Balances out end of day business (cash / check / cc) with encounter forms
• Generates daily batch reconciliation to be reviewed by Manager / Accounting
• Serves as back-up for check-in and check out
• Ensures a neat / tidy waiting room

Professional

• Demonstrates initiative and responsibility
• Able to perform repetitive tasks without loss of focus
• Adheres to ethical principles
• Time Management
• Adapts to change
• Attends all team meetings and mandatory in-service training / education
• Basic computer skills / Type minimum 45wpm

Communication

• Recognizes and respects cultural diversity
• Adapts communication to individual’s ability to understand
• Uses professional, pleasant telephone etiquette
• Uses medical terminology appropriately
• Treats all patients and co-workers with compassion, empathy, and mutual respect
• Projects a professional manner and image
• Consistent attendance and punctuality / Adherence to time clock procedures

Legal

• Maintains confidentiality and documents accurately
• Uses appropriate guidelines for releasing patient information
• Practices within the scope of education, training and personal capabilities
• Conducts self in accordance with Suncoast’s Employee Handbook.
• Maintains awareness of federal and state health care legislation and regulations; OSHA, HIPAA, and CLIA

Core Competencies

• Efficiency
• Attention to details
• Organized
• Punctual
• Takes initiative, proactive
• Team Player
• Honesty / Integrity
• Flexible
• Calm under pressure
• A Doer , persistence
• Problem solver, Strategic thinking, Creativity
• Analytical skills
• Clear and concise communication / Listening skills
• Quick Learner, Intelligence
• Follow through on commitments
• Enthusiastic, Friendly, Positive attitude
• Openness to advice and constructive criticism
• Strong work ethic

Physical Demands

• Prolonged Sitting / Standing / Walking
• Occasional travel
• Multitasking
• Repetitive head, neck, hands wrists and arm motion / rotation
• Extensive reading, writing, typing required
• Lifting to 25lbs
• Frequent use of office administrative equipment

Qualifications and Education Requirements :

High school diploma. Knowledgeable in computer programs, EMR systems, customer service, excellent verbal communication skills and clinical terminology preferred.

A minimum of 1 year in a clinical administrative and customer service field preferred.