Retina Consultants Ltd.
  • 29-Jan-2018 to 30-Mar-2018 (CST)
  • Customer Service
  • St. Louis, MO, USA
  • Full Time

Job Description:

 

Verify patient insurance coverage, obtain insurance referrals and authorizations from insurance companies and primary care physician offices, and troubleshoot insurance coverage questions from other departments as needed

 

Principle Duties and Responsibilities:

  1.          Verify patient insurance benefits and coverage using clearinghouse prior to scheduled appointment
  2.          Run daily inactive insurance list, calling patients when necessary to update information
  3.          Enter updated information and referral information into patient record
  4.          Contact primary care physician offices to obtain insurance referrals for upcoming patient appointments
  5.          Run Veterans Affairs query to obtain authorizations
  6.          Answer incoming telephone calls from patients, physician offices, and internal staff relating to insurance and/or referral issues
  7.          Screen for high deductible patients
  8.          Track utilized number of visits regarding patient referrals
  9.          Document changes and/or findings in patient records

 

Qualifications:

  1.          Knowledge of insurance companies, as well as their rules, coverage regulations and guidelines
  2.          Professional telephone etiquette
  3.          Ability to communicate courteously and effectively with referring physician offices, internal staff, and insurance company representatives
  4.          Able to display good judgement under pressure
  5.          Excellent organizational skills and ability to multi-task
  6.          Some knowledge of CPT and ID-10 coding
  7.          Understanding of PM and EHR practice software
  8.          Understanding of ophthalmic and retina terminology a plus
  9.          Must be a self-motivated team player

 

The above statements are intended to describe the general nature and level of work performed by employees assigned to this classification.  They are not to be construed as a complete list of all job duties performed by the employees in this classification.

 

Retina Consultants Ltd.
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