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Job Description
POSITION SUMMARY
Obtains information, insurance verification and authorization required for proper patient treatment and referrals.
PRIMARY RESPONSIBILITIES & AUTHORITIES
Process physician referral orders (Home Health, CT, MRI, Specialist, Etc.). This includes obtaining any insurance authorization needed. Coordinate new therapy referrals for insurance plans that require authorization. This includes obtaining any insurance authorization needed. Accurately note in chart regarding correspondence from insurance companies regarding insurance authorization. Prep charts for the next day to make sure all needed forms are included for the visit and all results have been obtained from specialists or tests since last visit. Documents all interactions in patient chart as appropriate. Demonstrate and apply knowledge of medical terminology, high proficiency of general medical office procedures including HIPAA regulations. Make copies of various forms when required.
MINIMUM QUALIFICATIONS
(EDUCATION, EXPERIENCE, SKILLS, ABILITIES): High school graduate or equivalent work experience including ability to read, write, and comprehend medical terminology. Computer proficiency recommended. Provider service coding experience preferred. Must be highly motivated and have the ability to perform multiple tasks with a minimal amount of supervision. Must have excellent communication and human relation skills.
OTHER SPECIAL REQUIREMENTS
(LICENSES, CERTIFICATIONS, REGISTRATIONS, ETC.) CPR Certification recommended for clinic staff.
PHYSICAL DEMANDS
Might have to stand for long periods of time, some walking required for errands and general office duties. Some lifting or moving 25 - 100 pounds may be required.
WORK ENVIRONMENT
Well lighted environmentally controlled office settings. Requires some exposure to communicable diseases.