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SalaryIn this role you will:
The Patient Access Representative I: will be trained in either Registration-Scheduling or Benefit Verification to support the FOI Physician Clinics. Schedulers must obtain all information related to the appointment to include patient demographics, related benefit information and method of referral in a call center environment. They must schedule patients based on need and physician protocol.
Benefit Verification Representatives are responsible for accurately and efficiently verifying and documenting all new and existing insurance benefits, patient financial responsibility is identified and documented for the check in staff to collect at time of service. Addresses for claim submission must be accurate. Both positions are responsible for confirming all referral requirements are entered so that the Authorization Representative may obtain referral if required. Opportunity for promotion to Patient Access Rep II by cross-training in both areas.
(After training and meeting probationary requirements, position can be remote.)
Key Responsibilities:
Scheduler:
- Register all new patient in the computer system by obtaining patient demographics and insurance information and source of referral. Confirm and update all information from prior visit if needed.
- Handle all scheduling requests according to physician and authorization protocols.
Benefits:
- Contacting insurance companies via phone or internet to obtain effective date of insurance coverage, type of coverage, co-pay or co-insurance information, coverage for x-rays and casting, PCP information if required, whether referral is required, and address for claims submission.
- Ensure all benefit information is properly documented in the system.
- Contact patient if information we have is not correct or we are unable to verify benefits for any reason, to obtain accurate information prior to patient’s scheduled appointment.
- Re-verify patient insurance benefits every 60 days.
- Properly document the need for referral and coordinate with the Authorization Representative to confirm if any authorization questions occur.
- Utilize insurance websites (Availity, Humana Military (Tricare), United Healthcare, etc.) to obtain insurance benefits.
Both positions:
- Assure compliance with all company plans policies and procedures set forth by the Florida Orthopaedic Institute
- All other duties as assigned.
About You:
- Candidate must be a high school graduate.
- 1 or more years of experience in a healthcare environment.
- Registration, scheduling, healthcare benefits experience helpful.
- Excellent customer service and communication skills.
- Must be detail oriented.
- Able to multi-task and handle high call volumes.
- Must have working knowledge of Windows based computer environment and typing skills.
At FOI our goal is to provide our patients with world-class orthopedic care.
Our mission of providing the best care encompasses not only the care the physician provides, but all medical and administrative aspects of the patients encounter with Florida Orthopaedic Institute (FOI) as well. Every staff member plays a vital role in this mission. We take pride in receiving the Patriot Award from the Department of Defense for the support that we give to National Guard and Reserve members who are employed by FOI. We are committed to encouraging a culture of inclusion reflective of the communities we serve, and we provide equal opportunity to all. Florida Orthopaedic Institute conforms to the spirit as well as to the letter of all applicable laws and regulations.
What we offer:
- Full time opportunities available, with room for career growth and advancement.
- Excellent job security and stability, to promote an optimal work life balance.
- Be part of this dynamic and growing high level Patient Access team!
