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Primary Care - Insurance Verification Specialist
Addison, Texas, United States
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Job Summary

Occupation Physician
Specialty Other
Degree Required MD/DO
Position Type Permanent/Full-Time
Work Environment Ambulatory Surgery Center (ASC) Academic/Training Program Hospital Clinic/Private Practice
Location Gilbert, Arizona, United States
Visa Sponsorship No

Job Description

Last Update: 11/13/14

JOB SUMMARY: Relying on instructions and pre-established guidelines and working under direct or indirect supervision, performs any combination of daily clerical in accordance with Concentra policies and procedures and applicable regulations.

MAJOR DUTIES AND RESPONSIBILITIES:

  • Greets patients and visitors and directs them accordingly.
  • Obtains authorization as needed to process patients for services needed.
  • Admits patients into OccuSource or manually in accordance with client company protocols.
  • Explains all required paperwork and forms to patients and ensures proper completion of all paperwork.
  • Answers incoming telephone lines in accordance with company procedures and directs the caller accordingly.
  • Checksout patients either via system or manually according to procedure and distributes records according to the Employer's protocols.
  • Files paperwork, medical records and correspondence according to defined company procedure.
  • Dissemination of all paperwork to outside parties including non-injury paperwork, custody and control forms.
  • Maintains inventory of office supplies and printed forms.
  • Assists in processing patient referrals as required.
  • Follows HIPAA guidelines and safety rules as outlined in training received.
  • Collects co-pays; ensures daily cash and credit reconciliation
  • Encounter error report
  • Dual eligible identification
  • Attends center staff meetings
  • Participates in ongoing training.
  • May include coordinating/scheduling transportation
  • Performs duties to achieve or exceed established service standards.
  • Comprehensive understanding of insurance verification and the patient registration process
  • Proficient and working knowledge of insurance eligibility verification practices/procedures as it relates to each payer and/or service rendered
  • Highly computer proficient with accurate and timely data entry skills - EMR experience a plus
  • Performs other duties, as assigned.

Concentra's Data Protection Commitment
* Concentra is committed to protect patient data and to ensure privacy of personal and medical information.
* Every Concentra colleague has the responsibility to adhere to data protection principles.
* If a colleague's role includes handling or processing sensitive data, role-specific policies and requirements apply to ensure the protection of patient information.