Patient Service Representative - Phoenix, United States - Circle The City

Circle The City

Verified Company

Phoenix, United States

2 weeks ago

Posted by:

Mark Lane

beBee recruiter

Essential Duties:

Duties include, but are not limited to:

Obtains authorization for patients, through pre-certification process.
Acquires authorization for ancillary testing, inpatient admissions, referral to specialist, prescription, durable medical equipment, etc.
Maintains current knowledge of practice sites managed care contracts and guidelines.
Adheres to guidelines of contractual managed care regarding referrals and testing.
Complete intake paperwork with patient. Ensuring the attestation is signed by the patient.
Set up, records and monitors in the EMR all data related to the authorization/precertification process.
Cancels and reschedules patient appointments as necessary according to availability, backlog and at request of immediate supervisor.
Greets and acknowledges patients and visitors. Follows standard operating procedures on checking patients in and follows standard operating procedures on appropriate patient check out.
Answers telephone and takes messages and/or routs call to appropriate personnel.
Schedules patient appointments, both over the phone and in person, as determined by protocols established by the Physician and the necessity of continuity of care.
Notifies appropriate departments and physicians regarding admissions, referrals, and authorization in a timely manner.
Is fully crosstrained in all front office functions.
Follow the release of information process when records are requested
Ensures integrity of accounts receivable through accurate registration and insurance verification.

Disseminates insurance information on covered services and protocols and ancillary services.