What are the responsibilities and job description for the Practice Representative - OA position at Georgia Eye Institute of the Southeast?
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 patients appointment need
- Collecting patient deductibles, co-pays and co-insurance, as appropriate for the visit; collecting cash rate patients 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
