- Ability to fully train and assist New Hires for the Front Office for Mesquite and Fort Apache.
- Courteously check patients in and out according to our Customer Service standards.
- Able to Verify insurances, collect appropriate dues and assist or work together with the Verification Department.
- Ability to complete, modify or identify discrepancies on patients' appointments, demographics, insurances, eligibility, and report this to the proper department to work in compliance for a better flow on a daily basis and on pro to have a more accurate schedule.
- Ability to assist call center, verification department, Medical Records and Referral department.
- Schedule appointments, maintain and update the schedule as needed.
- Confirm appointments for providers, aestheticians and RN’s.
- Create and maintain patient charts, ensure demographics are up to date.
- Prepare superbills accurately and in a timely manner.
- Follow all HIPPA regulations, keep patient personal and financial information confidential.
- Anticipate and respond positively to changing conditions.
- Ability to stay focused on what needs to be accomplished while under pressure.
- Ability to listen and communicate effectively and kindly while listening to patient complaints.
- Keep the front office neat and orderly to maintain our high standards.
- Maintain inventory, place order weekly as needed.
- Other duties as assigned to assist the overall function of your location.
- Know the difference between an HMO and PPO.
- Ability to maintain updated referrals for new and existing patients who need it.
- Ability to know the difference between Blue Cross and Blue Shield
- Ability to determine Medi-Cal HMO patients requires authorization and should be billed to Medical Group or IPA
- Ability to read insurance card and input the correct payer id or payer name and address
- Ability to know Military Insurance programs require specific policy info (SS# or 11 Digit id)
- Ability to multi-task in an expeditious manner
- Ability to know if the payer is contracted with Tax id/NPI
- Verify authorization for HMO commercial and Medi-cal HMO
- Awareness of completing all patient Demographics to avoid claim rejections
- Ability to post copays into EMA
- Ability to verify straight Medicare vs Medicare Advantage Plan
- Distinguish primary insurance vs secondary insurance
Ability to send faxes to the proper department in a timely manner, identifying Medical Records, Prior Authorizations and Referrals.