Practice Representative

Job Description

Job Description

Description:

Job Title: Practice Representative
Location: Hinesville, GA

Reports To: Practice Representative Manager
Employment Type: Full Time

Job Summary:

The Practice Representative is responsible for collecting and inputting patient demographic information to create and maintain medical records, facilitating the billing process with accurate demographic and payer details.

Key Responsibilities:

Insurance Verification & Eligibility:

• Place outbound calls and/or conduct online research to verify insurance coverage and eligibility before new patient appointments.
• Obtain necessary managed care referral guidelines.

Patient Communication & Referrals:

• Inform patients of pending insurance referral/authorization requirements based on appointment type.
• Ensure required patient referral/authorizations are received before the appointment.

Billing & Payment Collection:

• Confirm appropriate insurance benefit plans based on the patient’s appointment needs.
• Collect patient deductibles, co-pays, and co-insurance as applicable.
• Provide cash rate estimates for patients before their visits.

Administrative Tasks:

• Process daily insurance and consultation paperwork, including data entry and updating notes.
• Utilize practice management systems to manage pending appointments.
• Accurately register patient demographics in the system, including insurance and authorization details.
• File documents in electronic medical records as required.

Other Duties:

• Perform additional administrative tasks as assigned.

Qualifications & Skills:

• Strong communication skills for patient and insurance interactions.
• Proficiency in using practice management systems and electronic medical records (EMR).
• Attention to detail in data entry and document management.
• Basic knowledge of insurance policies, referrals, and authorizations.