Overview
CLERICAL Jobs in Phillipsburg at Phillips County Hospital
Position Overview: Prepare patient records for appointments, schedule appointments for patients with various visiting specialists with their clinics, secure prior authorization on patient insurance (visiting specialty providers only) for appointments and procedures, maintain positive relationships with visiting specialists, their staff, and their clinic managers, maximize patient throughput and efficiency, create a patient-centered experience, liaison between medical clinic patients and specialty clinic providers.
Major Duties/Key Responsibilities/Essential Functions:
Responsible for timely communication with insurance companies, providers, outside facilities for referrals, and authorizations. Timely answers and returns all phone calls, initiating and verifying insurance benefits and authorizations of appointments prior to services being rendered for outpatient services and pre-scheduled procedures. Prepares patient records for appointments. Obtains accurate forms and data
Communicates with other departments and clinics regarding patients’ status
Communicates and documents conversations prior to procedures of fees due and answers questions regarding fees/insurance coverage. Documents patients’ deductibles, co-payments, and co-insurances that need to be collected prior to procedures
Greets and directs patients
Must work well under stress and tight deadlines
Coordinates and works with specialty offices, insurance carriers, schedulers, and patient registration
Inputs patient information into Electronic Medical Record (EMR).
Develop and monitor tracking system to support patient authorizations and timelines
Maintain payer medical necessity requirements
Liaison between office and clinics regarding denials and assist in appeal and resolution
Able to strongly advocate for patients and work on appeals to obtain a resolution
Collaborates with external sources to expedite authorization
Ensures all referrals are coded appropriately
Answer, triage, and route high call volume
Interact with patients, physicians, and clinic staff with timely and professional manner
Maintain positive relationships with specialty providers and clinics
Liaison with the VA for prior authorizations, referrals, and medical equipment
Monitors outpatient emails and Relatient (automated notification system)
Maintains printer- problem solving, changing toner, replacing/ordering paper. Orders office supplies.
Responsible for answering calls and scheduling treatment room and specialty clinic patients and creating pre-admit encounters for patients. Any double booking needs to be approved by OPC Manager.
Job Qualifications:
Experience: Experience with insurance companies or claims a plus (Patient access, scheduling, billing, coding, insurance claims), high computer skills and accuracy, excellent customer service
Required Education: High School Diploma or equivalent, Bachelor’s Degree preferred
Required Certifications/Registrations: None
Title: CLERICAL
Company: Phillips County Hospital
Location: Phillipsburg
