Triages patient/physician practices complaints/concerns for the department working with the patient access director to resolve issues that arise.
Obtain complete and accurate insurance clinical and demographic information from physician offices including any required referral and prior authorizations. Identifies any denial potential and forwards to patient access for follow-up
Delivers exemplary customer service to all customers in accordance with clinical expectations/guidelines.
Demonstrates respect and regard for the dignity of all patients families visitors and fellow employees to ensure a professional responsible and courteous environment.
REQUIRED KNOWLEDGE & SKILLS:
Strong interpersonal organizational and oral communication skills
Ability to work closely and productively with other members of an interdisciplinary team
Ability to work independently and take initiative with accuracy and attention to detail
Ability to analyze operational issues and solve them creatively
Must be proficient in Electronic Medical Records
In-depth knowledge of medical central scheduling practice operations
Knowledge of payer requirements related to referral prior authorization and medical necessity
EDUCATION/EXPERIENCE/LICENSURE/TECHNICAL/OTHER:
Minimum Experience(Type & Length):.4years in a health care setting preferably hospital or physician practice
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