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Patient Service Rep. (FT) Memorial Springs

Valir Health
Oklahoma City

Job Description

Performs general reception and administrative functions as required by the department including but not limited to answering phones and taking messages, greeting visitors, verifying benefits for outpatient physical therapy and accurately advising patients of costs for services, obtaining approval for physical therapy from insurance companies requiring authorization including but not limited to work comp and MVA; responsible for patient collections (copays/coinsurances/deductibles), ordering supplies for clinic and maintaining a clean and organized front desk area; Excellent organizational skills; Good keyboarding and computer skills required. Under General supervision of the Clinic Manager with routine interaction and guidance from the Non Clinical Operations staff.

Beneficial Knowledge/Experience:

Ability to navigate EMR system
(Entering new patient information/scheduling/attaching documents)

Experience calling insurance companies and verifying insurance (finding out benefit information: deductibles, OOPs, coinsurance, copay, pre-authorization requirements)
Ability to understand and explain insurance benefit information to new patients
Understanding of claim processing in regards to payments and denials
Specialized experience with requesting PT authorizations for specific insurance companies (UHC/GEHA/Humanaetc.)
Experience with obtaining motor vehicle accident billing information and knowledge of liable party billing procedures
Experience assisting a therapist/chiropractor in a clinic setting with patient care (tech experience)
Responsibilities
POSITION PURPOSE

Performs general reception and administrative functions as required by the department including but not limited to answering phones and taking messages, greeting visitors, verifying benefits for outpatient physical therapy and accurately advising patients of costs for services, obtaining approval for physical therapy from insurance companies requiring authorization including but not limited to work comp and MVA; responsible for patient collections (copays/coinsurances/deductibles), ordering supplies for clinic and maintaining a clean and organized front desk area; Excellent organizational skills; Good keyboarding and computer skills required. Under General supervision of the Clinic Manager with routine interaction and guidance from the Non Clinical Operations staff.

Beneficial Knowledge/Experience:

Ability to navigate EMR system
(Entering new patient information/scheduling/attaching documents)

Experience calling insurance companies and verifying insurance (finding out benefit information: deductibles, OOPs, coinsurance, copay, pre-authorization requirements)
Ability to understand and explain insurance benefit information to new patients
Understanding of claim processing in regards to payments and denials
Specialized experience with requesting PT authorizations for specific insurance companies (UHC/GEHA/Humanaetc.)
Experience with obtaining motor vehicle accident billing information and knowledge of liable party billing procedures
Experience assisting a therapist/chiropractor in a clinic setting with patient care (tech experience)
Qualifications
POSITION REQUIREMENTS

Licenses or Certifications:

Total Education, Vocational Training, and Experience: High School Diploma or equivalent required. Associates degree preferred. Medical office experience preferred including experience with verifying and filing insurance claims.

SKILLS AND ABILITIES

Excellent verbal and written communication skills;

Excellent organizational skills;

Ability to type a minimum of 40 wpm;

Ability to handle several tasks at one time;

Ability to interact in a positive manner and communicate well with patients, families, co-workers, and supervisor.

PROTECTED HEALTH INFORMATION:

Position has Full Access to Protected Health Information of patients on caseload.

Proficiency or Productivity Standards:

Organize and prioritize tasks and projects

Accurately complete job responsibilities within the specified time constraints to meet the needs of patients, regulatory standards and customer satisfaction

Exceptional attendance is a requirement in order to fulfill role expectations

Physical ReQUIREMENTS:

ESSENTIAL FUNCTIONS:

Ability to speak, hear, write, and read English

CRITICAL DEMANDS:

Lift up to 25# from floor to desk (36) (Occasional) Stand (Occasional)

Sustained forward bending in sitting (Frequent) Sit (Constant)

Walking up to .25 mile (Occasional) Sustained squat (Occasional)

Repetitive squat (Occasional) Kneel (Occasional)

Full body range of motion (Constant) Overhead reach (Occasional)

Grasp of various sizes and weights up to 50# (Constant) Balance (Continuous) In walking, standing, carrying, moving patients, and equipment, etc.

Push/Pull up to 75# of force (Occasional)

ENVIRONMENTAL CONDITIONS

Indoor climate-controlled environment. Occasional travel with exposure to outdoor elements.

Working Conditions:

Potential hazards include:

Exposure to

None

Some

Frequent

Very Frequent

Exposure to

None

Some

Frequent

Very Frequent

* toxic/caustic chemicals

x

*blood or body fluids

x

*extreme conditions, hot or cold

x

*communicable diseases

x

*dust/fumes/gases (including asbestos)

x

*unprotected heights

x

*moving mechanical parts

x

*CRT (computer) monitor

x

*potential electric shock

x

*frequent, repetitive motions

x

*x-ray electro-magnetic energy

x

*Other (as listed)

*high pitched noises

x

*needles or other sharp objects

x

MACHINES/EQUIPMENT USED

Office equipment such as computer, FAX, telephone, copier, calculator, etc. Assumes responsibility for equipment, inventory, safety, and security of assigned facilities.

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