01Overview
Responsibilities
Accurately obtain patient demographic from face sheets, facilities or patient calls.
Validate and verify the medical insurance plans of patients.
Digitize patients data, EHR, and Nextgen billing system.
File documents regarding patient records
Works with at least 50 patients per day
Adhere to all HIPAA guidelines during facility, payer, and/or patient communication.
Keeps up to date with healthcare practices, laws, and regulations related to insurance requirements and types of plans.
Prioritizes work and manages time effectively to meet set requirements made by the manager.
Reports any technical issues or unavailability of tools and or resources required to meet and surpass required productivity and quality
Report any accounts incorrectly added to assigned task(s) for correction to management.
Assists with other administrative tasks as needed
Ability to analyze unique scenarios and determine the correct action.
Proactive thinking and analytical skills
Other duties may be assigned
Requirement
Minimum of 3 years experience in medical insurance
Knowledge of medical terminology, CPT, ICD10 and HIPAA regulations
Computer Skills/Proficiency using EMR and other software programs such as MS Word, Excel, and online payer portals
Must have good oral communication skills and the ability to communicate effectively both on the phone and in person.
Must be willing to adapt or adjust to accommodate the inflow of tasks and projects
Must be extremely organized, highly motivated self-starter with excellent attention to detail.
Demonstrates initiative, ability to work independently and in a team setting.
Must be detail oriented to ensure all the details are done correctly the first time around.
Ability to multitask and navigate between platforms is a must.
Ability to act ethically and within the guidelines of company compliance policies and code of conduct
Ability to meet daily production goals and other tasks and metrics as assigned.
Ability to follow all company policies and procedures
