GENERAL SUMMARY OF DUTIES

Responsible for obtaining required information from new patients and ensuring proper referrals are received and documented. Responsible for verification of benefits and/or required pre-certification for procedures. Abides by corporate compliance and HIPAA policies; participates in annual training. Maintains confidentiality and abides by company rules and policies.

SUPERVISION RECEIVED

Reports to Director of Operations

SUPERVISION EXERCISED

None

LOCATION

AWH East

ESSENTIAL FUNCTIONS

Calls and confirms appointments for all new patients and yearly appointments. Monitors doctor schedules for errors and reschedules appointments as requested. Works closely with patients to answer questions regarding benefits, estimated charges and out-of-pocket expenses. As needed, handle any billing or insurance related questions, both over the telephone and in person. Ensures proper referrals are received prior to appointments for all HMO patients requiring a referral for scheduled services. Calls and obtains referrals for add-on procedures requiring a referral. Responds to requests for patient information from the Billing Office in a timely manner. Directs requests for clinical information to the treating physician's nurse. Verify insurance on procedures, surgeries, etc. Obtain necessary pre-certification for OB deliveries and Gynecological surgeries. Responsible for monitoring and routing of incoming faxes. Responsible for filing documents into patient's chart. Responsible for answering "doctor to doctor" line and phone overflow. Back up for front desk and Affirm tests. Maintains confidentiality of patient information. Other duties as assigned. The job holder must demonstrate competencies applicable to the job position.

EDUCATION

High school diploma

EXPERIENCE

One year work experience in a medical office setting.

REQUIREMENTS

None

KNOWLEDGE

Comprehensive knowledge of third-party payer restrictions and regulations. Knowledge of clinic policies, procedures, and systems. Knowledge of patient service concepts and techniques.

SKILLS:

Skill in exercising initiative, judgment, problem solving, and decision making. Skill in spelling and punctuation to type patient information accurately. Skill in telephone etiquette.

ABILITIES

Ability to communicate clearly in writing, in person and on the telephone and establish/maintain cooperative relationships with patients, families, and physicians' staff. Ability to handle multiple projects simultaneously and set priorities.

PHYSICAL/MENTAL DEMANDS

Work may require some hand dexterity for office machine operation, frequent stooping and bending to files and supplies, or occasional lifting up to 50 pounds to waist height. Manual dexterity for using a calculator and computer keyboard. Sitting for extended periods of time.

ENVIRONMENT/WORKING CONDITIONS

Work is performed in an office environment. Involves contact with clinic staff, patients, physicians, vendors and other visitors. This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.

EEOC Job Type:

Full-time Pay:

$15.00 - $19.00 per hour

Experience:

Insurance verification: 1 year (Preferred) Medical billing: 1 year (Preferred) Ability to

Commute:

Wichita, KS 67208 (Required) Ability to

Relocate:

Wichita, KS 67208: Relocate before starting work (Required)

Work Location:

In person