What are the responsibilities and job description for the Front Office/Prior Authorizations position at High Country Community Health?
Front Office duties include:
- Check patients in and verify demographics including telephone numbers, addresses, guarantor and insurance information at each visit
- Scan Insurance card and link insurance in patient’s chart
- Update new paperwork yearly
- Obtain proper documentation for SFS applicants and calculate household income accurately and acquire second signature for verification
- Capture picture of the patient if not already done
- Distribute patient questionnaires when necessary
- Answer telephones courteously and send patient messages to appropriate staff
- Schedule appointments
- Call and remind patients of their upcoming appointments
- Collect co-pays, deductibles and outstanding balances on patient accounts
- Post co-pays and SFS payments as pre-payments
- Check eligibility on patients not included in the daily batch, i.e. walk ins or work ins
- Review insurance eligibility and address any errors with eligibility as the patient checks in at each visit
- Scan paper documents into patients’ chart when completed
- Must be able to perform check out duties as well on days covering both positions
- Ensure daily workflow is maintained
- Other duties as assigned
Prior Authorization duties include:
- Responsible for all aspects of the prior authorization process
- Collecting all the necessary documentation
- Contacting the patient for additional information to ensure completion of the required prior authorization for the prescribed medication.
- Interacts with patients, and insurance companies as necessary, to request prior authorizations.
- Provides the highest level of customer service to internal and external clients.
- Other duties as assigned
