Front Office Support

JOB SPECIFIC CORE COMPETENCIES:

• Demonstrate the ability to verify patient insurance eligibility and benefits.
• Demonstrate the ability to obtain precertification for outpatient procedures with correct CPT and diagnosis codes through appropriate insurance company online, fax, and by telephone.
• Demonstrate the ability to document authorizations in Meditech and link to appropriate appointments.
• Identify and submit appropriate clinical documentation to insurance companies to support authorization requests.
• Demonstrates excellent communication skills with medical staff and patients.
• Ability to check patients in, verify demographic information, answer calls, sort and deliver faxes.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:

• Verify patient insurance eligibility and benefits on all infusion patients by verifying pre-certification note, date range, and number of cycles..
• Obtain pre certifications and authorizations for scans, labs, and infusions as assigned.
• Document authorizations in Meditech and link to appropriate appointments.
• Identify and submit appropriate clinical documentation to insurance companies to support authorization requests.
• Exhibit excellent communication skills with medical staff and patients.
• Check in patients, verify patient demographic information, answer incoming calls, and sort and deliver faxes as needed.
• Follow up on outgoing referrals as needed.

EXPECTED BEHAVIORS:

• Interacts collaboratively with team members
• Ability to maintain composure under stressful situations.
• Possesses a sense of responsibility, initiative, honesty, and confidentiality.
• Maintain satisfactory, regular and predictable attendance by reporting to work as scheduled and keeping unscheduled absences to a minimum.

EDUCATION AND EXPERIENCE REQUIREMENTS:

• High school education or Associate degree preferred.
• Experience in an oncology clinic or other medical setting with medical terminology preferred.
• Proficiency with software necessary to perform essential job functions such as medical records and insurance portals.

OTHER:

• In office Monday - Friday, 8am-4pm (7.5 hours/day, 37.5 hours/week)
• Mandatory Annual Continuing Education: Customer Service, Fire and Safety, Confidentiality-HIPAA, Infection Control, Corporate Compliance. Annual Unit Specific Competencies, and all education required by regulatory, accreditation bodies and/or Hancock Regional Hospital.

EQUIPMENT USED: Meditech EMR, insurance portals. Desktop computer provided

ENVIRONMENTAL CONDITIONS: Office setting.