Billing, Calendar Management, Co-Payments, Customer Support/Service, Demographics, Equipment Maintenance/Repair, Health Insurance, Healthcare Customer Service, Insurance, JAX (Java API for XML), Medical Billing, Medical Office, Medical Records, Medical Terminology, Patient Care Authorizations, Willing to Travel
Monday through Friday 8:00 AM TO 5:00 PM
Some travel to other locations may be required based on operational needs
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.
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.
Qualifications:
Education / Training
- High School Diploma/Equivalent
Experience Requirements
- 0-1 year Medical Office, Insurance, Billing/Registration
Preferences:
1 year of Medical Customer Service or Registration experience.
Medical Terminology and Medical Insurance terminology with emphasis on referral and pre-certification