JOB SUMMARY
Reviewing patients information to verify insurance coverage, eligibility, and if there is preauthorization needed from our client to provide the services they offer. You will also review medical records, schedule patient appointments, and perform other admin tasks and routine office duties.
- DUTIES AND RESPONSIBILITIES
Meet patient needs through a variety of methods which may include but not limited to:
a. Answer incoming phone calls and/or make outbound phone calls, gathering information to route appropriately.
b. Facilitate warm handoffs when the department is reached in error.
c. Check in patients.
d. Make walk-in appointments.
e. Check out patients and print after visit summaries.
f. Schedule appointments via phone, in person or via electronic correspondence.
g. Schedule follow-up appointments.
h. Coordinate appointments for patients in other clinics.
i. Coordinate Lab and Radiology appointments.
j. Cancel and/or reschedule appointments if appropriate and/or send messages to the corresponding department.
k. Manage electronic worklists. l. Manage templates for day-to-day edits and reschedules.
- Create and maintain patient records which may include:
a. Verify and update patient demographics.
b. Verify visit account and insurance information and transfer to Registration if updates are needed.
c. Create account records.
d. Complete Medicare as a Secondary Payor Questionnaire as needed.
e. Collect patient photographs, document signatures and insurance card scans.
f. Collect copays, pre-payments and outstanding balances.
h. Update and/or verify primary care and referring providers
- 3. Manage visit prior authorization and referral requirements which may include:
a. Counsel patients on prior authorization, referral requirements, and insurance networks as prompted by
b. Evaluate referrals and link to appropriate upcoming appointments.
d. Counsel patients on financial responsibility form if referral is not obtained by time of service and collect signature.
- 4. Provide excellent customer service to patients and family members:
a. Communicate in a manner consistent with positive patient relations.
b. Demonstrate a welcoming environment when greeting all patients and family members.
c. Provide helpful assistance in anticipating and responding to the needs of all patients and family members.
d. Collaborate with customers in planning and decision making to result in optimal solutions.
e. Remain calm under pressure and effectively deal with difficult people.
f. Independently recognize, interpret, and evaluate situations and their level of urgency based on organizational. guidelines.
g. Help in setting realistic patient expectations for call backs. Staying updated with routine office duties & admin tasks throughout the workday.
Bachelor's degree in nursing (BSN)
Must have an Active and restricted PHRN License
Minimum 2 years of experience in a BPO company (voice account).
Relevant experience in Customer Service, Pre-Authorization, Medical Reception in a BPO setting.
Working knowledge about US-based insurance pre-authorization, verification, health claims, and eligibility claims
Excellent communication skills with the ability to collaborate with a local and foreign team.
Amenable to work on-site and during night shifts
Job Types: Full-time, Permanent
Pay: Php30,000.00 - Php75,000.00 per month
Benefits:
Life insurance
Schedule:
Shift system
Supplemental Pay: Commission pay
* Performance bonus
