What are the responsibilities and job description for the Patient Registration Specialist - Northwest position at Texas Orthopedics, a division of OrthoLoneStar?
GENERAL JOB DESCRIPTION: Perform all responsibilities surrounding insurance verification and eligibility confirmation, insurance requirements such as referrals or authorizations, capturing and entering all necessary information for a smooth check-in process and claims to successfully be submitted.
ESSENTIAL FUNCTIONS:
QUALIFICATIONS
Experience:
Licensure:
Special Skills:
Physical Demands:
Environmental Working Conditions:
ESSENTIAL FUNCTIONS:
- Prepare schedules for clinic and identify any issues prior to visit.
- Confirm, capture, and correct any changes in patient demographics and insurance.
- Verify insurance and obtain benefits as needed; identify remaining deductible amount and/or copay to collect.
- Obtain insurance referrals and/or authorizations for upcoming visits.
- Provide EOB to patients and thoroughly explain balance as needed.
- Answer telephones, schedule appointments and redirect to appropriate departments as needed.
- Schedule and reschedule appointments for patients with attention to all insurance rules and limitations per physician preferences, including physical therapy appointments.
- Serve as Subject Matter Experts on first level insurance related matters within the practice.
- Confirm appointments in advance; reach out to patient when necessary.
- All other duties as assigned.
QUALIFICATIONS
Education:
- High School diploma
Experience:
- Previous experience in a medical office setting
- Computer experience
Licensure:
Special Skills:
- Fluent in Spanish (preferable)
- Knowledge of medical and insurance terminology
- Attention to detail
- Ability to multitask between multiple applications
- Ability to effectively communicate both orally and written
- Ability to work in a fast paced environment
Physical Demands:
- Must have adequate visual acuity to read, the ability to interpret and understand written material
Environmental Working Conditions:
- Indoors with rare conditions of extreme noise.
- Continuously handle multiple tasks simultaneously and work as a part of a team.
- Frequently performs tedious and exacting work in high volume conditions with frequent changes in tasks.
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