Responsibilities:

• Efficiently and effectively manages Accounts Receivable using established work queues and process flows. Meets established productivity metrics.
• Act as liaison between patient and Allergan to assist with financial assistance, explain Botox Savings Program, assist with application process and provide detailed bills.
• Identifies and tracks third party rejection types to determine rejection patterns. Responsible for facilitating maximized revenue for the practice by managing strategies to collect monies from third party payers and collect past due balances; Processes and checks status of claims.
• Coordinates the activities of clinical program(s) and/or initiative(s) within the practice. Assumes a leadership role in program/initiative development, implementation, management, and communication as per direction from practice leadership.
• Provides support to practice leadership for establishing, implementing, and maintaining practice policies, procedures and efficient systems that support daily operations and/or clinical program/initiative effectiveness.
• Schedules appointments for Botox patients, appropriately informs patient of any appointment time changes, confirms appointments.
• Identifies if referral is required for care and verifies validity of location, date & number of visits; Issues referrals for specialists and diagnostic studies as directed; Verifies patient’s insurance and prior authorization.
• Determines source of patient’s medication: specialty pharmacy vs. Buy & Bill; Communicates that patient is cleared for injections.
• Maintains up to date knowledge of insurance requirements pertinent to patient service and billing procedures.
• Patient Services Associate Duties (as needed/directed) such as answering patient calls, scheduling appointments, responding to caller requests based on principles of practice, triaging calls to appropriate person, and retrieving voicemail messages according to practice protocol.
• Establishes positive relationships with patients by demonstrating knowledge of patient history with practice, treating them with compassion and responding to their individual needs.

Education or Equivalent Experience:

• H.S. Diploma/GED (Required) And 4 years experience working within medical office environment. 
• Bachelor's degree preferred.
• Coursework in medical terminology preferred. 
• Experience in the insurance/HMO industry or academic medical center strongly preferred.