DESCRIPTION

RESPONSIBILITIES INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING:

• Verifies insurance coverage to ascertain deductible and coinsurance amounts, obtaining precertification/authorization for durable medical equipment and other services as needed.

• Notifies patients of expected financial responsibility that will be due at the time of service.

• Schedules pre-authorized services and follow-up office visits as needed.

• Provides explicit instructions to patients regarding time of arrival, place of service, and documentation necessary for office visits.

• Enters benefits and precertification/authorization into EMR system (Referral Management).

• Coordinates with referring physician offices when necessary to pre-authorize services.

• Coordinates with AOA business office to evaluate and resolve reimbursement issues.

• Maintains work area in a neat and orderly manner at all times.

• Attends scheduled staff meetings.

• Availability to work in the office setting Monday-Friday.

• Additional responsibilities as assigned by Director of CBO.

REQUIREMENTS

EDUCATIONAL REQUIREMENTS:

• High School Diploma/GED or equivalent experience.

QUALIFICATIONS AND EXPERIENCE

• Computer literate, with keyboard skills-working knowledge of practice management software.

• One or more years of DME experience.

• One or more years’ experience in insurance verification / precertification in a medical office or hospital setting preferred.

• Knowledge of medical terminology.

• One year or more of work experience in various areas of medical insurance preferred.

• Knowledge of CPT and ICD-9 coding of DME.

• Pleasant speaking voice and demeanor.

• Neat, professional appearance.

• Ability to perform in a highly stressful situation.

• Ability to multitask.

• Ability to focus and maintain direction in the tasks at hand under pressure.

• Ability to establish effective working relationships with patients, physicians, insurance representatives and other medical support staff.

• Background in medical terminology and orthopedics preferred.

• Ability to analyze various medical situations for scheduling purposes

Company: AOA Orthopedic Specialists

Job Type: Full-time

Address: 800 Orthopedic Way, Arlington, TX, 76105