Job Details
Full Job Description
Job Details
Req Id 87085
Department NEW HARTFORD MEDICAL OFFICE
Shift Days
Shift Hours Worked 8.50
FTE 1.066667
Work Schedule HOURLY NU 8 HR COMM MED
Employee Status A1 – Full-Time
Union Non-Union
Job Summary
Provide indirect patient care in the office/clinic setting. Makes referrals and outside appointments for ancillary services. Has a vast knowledge of insurance company policies and procedures. Submits appropriate information to meet insurance company and specialist’s needs.
Core Job Responsibilities
- Making outside appointments/referrals accurately and within 1 working days.
- Submitting appropriate paperwork to insurance companies and/or specialist prior to appointment.
- Documents in medical records that referral/authorization/patient appointment has been made.
- Obtains prior approval authorization when needed
- Maintains a comprehensive knowledge of the different insurance company’s policies and procedures.
- Responds to phone messages the same business day as received.
- Maintains referral logs as needed.
- Performs other duties as needed.
Education/Experience Requirements
Required: High School Graduate
Preferred: Experience with insurance company rules and regulations preferred
EOE AA M/F/Vet/Disability
Qualified applicants will receive consideration for employment without regard to their age, race, religion, national origin, ethnicity, age, gender (including pregnancy, childbirth, et al), sexual orientation, gender identity or expression, protected veteran status, or disability.
Successful candidates might be required to undergo a background verification with an external vendor.
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