Medical Receptionist/Front Desk

• Assisting physicians in documenting patient records accurately, which is crucial for prior authorizations as it ensures comprehensive and precise information to support the medical necessity of a medication or treatment 1.
• Collaborating with prescribers, prior authorization specialists, and medical coders to retrieve, document, and submit necessary forms to payers.
• Providing patients with information about discount cards or patient assistance programs that can help them save on expensive brand-only medications.
• Advising patients on the possibility of submitting an urgent request for a faster decision on prior authorizations.
• Coordinating with insurers directly to expedite the prior authorization process 2.

2. Prior Authorizations: Prior authorizations are a cost-control process that requires healthcare providers to obtain advance approval from a health plan before delivering a specific service or prescribing a medication 3. Medical assistants can contribute to this process in several ways:

• Assisting in the completion of paperwork, including patient demographics, charts, labs, and clinical documentation that supports the medical necessity of a procedure or treatment 1.
• Collaborating with prescribers, prior authorization specialists, and case managers to ensure all necessary information is included in the prior authorization request.
• Communicating with insurance companies via phone, fax, or web portals to submit prior authorization requests 4.
• Helping patients understand the prior authorization process and providing guidance on potential ways to expedite it, such as filing an urgent request or speaking directly with insurers.
• Supporting physicians in minimizing the administrative burden of prior authorizations by utilizing electronic prior authorization (ePA) technology 3.

Answering Phones ......

• Greeting clients and patients over the phone in a friendly and professional manner.
• Scheduling appointments and managing the healthcare provider's calendar.
• Taking messages and relaying them to the appropriate healthcare professionals.
• Assisting patients with general inquiries, such as medication refills or appointment cancellations.
• Directing urgent calls to the appropriate healthcare professionals or departments.

Effective phone communication is essential in providing quality patient care and maintaining a well-organized healthcare facility. As a medical receptionist, your role in answering phones helps ensure smooth communication and efficient coordination within the healthcare team.Remember, the specific phone duties may vary depending on the healthcare facility and the needs of the organization. Always follow your organization's guidelines and protocols for answering phones.

Experience in referrals and authorizations is a plus.

Job Types: Full-time, Part-time

Pay: $20.15 - $23.30 per hour

Expected hours: 32 – 40 per week

Benefits:

• 401(k)
• 401(k) matching
• Paid time off

Schedule:

• 4x10
• No weekends

Ability to Commute:

• Modesto, CA 95350 (Required)

Ability to Relocate:

• Modesto, CA 95350: Relocate before starting work (Required)

Work Location: In person

Salary : $20 - $23