Patient Service Rep
Partners Personnel Management
ntial Functions:
- Prepare and process work orders accurately and timely
- Obtain, review, and coordinate required documentation, including prescriptions, physician notes, and other supporting records needed to move orders forward
- Verify patient insurance benefits, confirm coverage criteria, and secure prior authorizations or pre-certifications as required
- Ensure data integrity and accuracy of patient account information, including HCPCS and ICD-10 coding, to support proper processing and reimbursement
- Communicate with patients regarding insurance coverage, financial responsibility, and next steps in the process
- Coordinate with physician offices, practitioners, and internal staff to obtain missing information and ensure orders are ready for delivery
- Maintain knowledge of payer-specific rules, documentation requirements, and authorization procedures
- Ensure orders are properly documented and meet company and insurance requirements prior to delivery
- Provide excellent customer service to patients, referral sources, and coworkers
- Document account activity clearly, accurately, and professionally
- Help maintain an efficient flow of service from order intake through readiness for delivery
- Complete other duties as assigned
- Limited travel to nearest office location for support
- Works independently
- Uses good judgment
- Makes sound decisions
- Communicates professionally with patients, physician offices, insurance representatives, and coworkers
- Works effectively in a fast-paced environment
- Records information clearly, accurately, and concisely
- Handles sensitive and confidential information appropriately
- Meets deadlines, prioritizes tasks, and manages multiple accounts at once
- Proficient in Microsoft Outlook, Word, and Excel
- Organized and detail-oriented
- High school graduate
- Prior experience with insurance verification, prior authorizations, medical documentation, or patient service in a healthcare setting preferred
- Knowledge of anatomy and medical coding is a plus
Vacancy posted 22 hours ago
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