Handles calls for the Och Spine Center for out of network patients. Ensures prior-authorizations are obtained for required visits. Verifies the out of network patients are eligible for services on the date of their appointment, and communicates patient out of network responsibility in cases where they are scheduled for a non-participating provider.
Obtains patient’s insurance, demographic, workers compensation and no-fault information and enters the data into our practice management system with 100% accuracy.
Verifies patient and/or family members’ patient demographic information and active insurance utilizing the Experian system.
Provides patients with all pre-appointment instructions including but not limited to: referral requirements, medical records/imaging requirements, and time of service payment policies.
Works with insurance carrier to understand payer reimbursement; with minimal responsibility to the patient.
Communicates patients’ financial responsibility in an informative manner.
Answer all essential questions relating to the patient’s insurance, appointment or provider.
High School degree required
Bachelor’s degree preferred
Minimum of three years’ experience working in a physician practice, scheduling appointments and performing insurance eligibility review.
Strong computer skills, including use of EMRs and other systems used in a medical practice.
Working knowledge of Managed Care, Medicare, Medicaid, Workers’ Compensation, No Fault and other third party payers.
Knowledgeable of billing practices for out of network patients.
Ability to multitask, set priorities and manage time effectively.
Excellent verbal, listening and written communication skills.
Demonstrates a commitment to excellent customer service and patient interaction