What are the responsibilities and job description for the Practice Representative 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
