Key skills
CommunicationTime Management
About this role
Role Overview
- Answer and professionally manage inbound patient calls.
- Schedule, reschedule, and confirm patient appointments.
- Register new patients and update demographic and insurance information.
- Verify patient insurance eligibility, benefits, copays, and deductibles.
- Greet patients and provide excellent customer service.
- Respond to patient inquiries and resolve concerns professionally.
- Determine when medications or services require prior authorization.
- Collect and review clinical documentation needed for authorization requests.
- Submit prior authorization requests through insurance portals, phone, or fax.
- Monitor authorization status and follow up with insurance companies.
- Notify patients of authorization outcomes and any financial responsibility.
- Assist with appeals by gathering additional documentation when required.
- Review patient information for billing accuracy.
- Assist with claim preparation and submission.
- Monitor claim status and follow up on denials or delayed payments.
- Post insurance and patient payments accurately.
- Support end-of-day reconciliation and billing reports.
- Maintain accurate billing documentation within the practice management system.
- Maintain accurate patient records within the EMR/EHR.
- Complete daily activity logs and authorization tracking logs.
- Generate and review end-of-day operational reports.
- Support providers and office staff with general administrative tasks.
- Ensure compliance with HIPAA and all office policies and procedures.
Requirements
- Minimum 2 years of experience as a Medical Assistant or in a similar healthcare administrative role.
- Experience with insurance verification, prior authorizations, and medical billing.
- Strong understanding of CPT, ICD-10, HCPCS, and the healthcare revenue cycle.
- Excellent verbal and written English communication skills.
- Experience using EMR/EHR systems.
- Strong knowledge of HIPAA regulations and patient confidentiality.
- Excellent organizational, multitasking, and time management skills.
Benefits
- Health insurance
- Retirement plans
- Paid time off
- Flexible work arrangements