The Practice Representative position is responsible to collect and input patient demographic information for the creation and/or maintenance of a medical record to facilitate the billing process as it relates to demographic and payer information.

The candidate should be able to:

• Place outbound phone calls and/or conduct an internet lookup to insurance companies (or their website) to verify coverage and eligibility statuses prior to new patient appointments, to include obtaining any necessary managed care referral guidelines
• Communicate to patient any pending insurance referral/authorization requirements based on the appointment type
• Ensure required patient referral/authorizations are received prior to releasing patient for visit
• Complete and confirm determining if the selected insurance benefit plan is appropriate based on patient’s appointment need
• Collecting patient deductibles, co-pays and co-insurance, as appropriate for the visit; collecting cash rate patient’s visit estimate prior to the visit
• Process daily insurance and consult paperwork to include data entry of verified insurance and updating notes
• Utilize practice management system to obtain pending appointments
• Interview patients for accurate demographic registration into practice management system, to include inputting complete insurance and/or authorization data
• Files documents in electronic medical record, as required