Practice Representative

Job Type


Part-time

Description

Job Title: Practice Representative


Location: Okatie, SC (Okatie Center Blvd.)

Reports To: Practice Representative Manager


Employment Type: PRN/Part Time, 3 days/week

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.

Requirements

• High school diploma or equivalent required; associate's or bachelor's degree in healthcare administration or related field preferred.
• Previous experience in a medical office, ophthalmology practice, or healthcare setting preferred.
• Strong customer service and interpersonal skills.
• Proficiency in electronic health records (EHR) and medical billing systems.
• Knowledge of insurance verification and prior authorization processes.
• Excellent organizational skills and ability to multitask in a fast-paced environment.
• Strong verbal and written communication skills.
• Ability to work collaboratively with patients, staff, and healthcare providers.