Medical Assistant/Insurance Verification

Job Description

Job Description

Salary: 18

We are seeking a friendly, organized, and detail-oriented individual to join our family and mental health practice as a Front Desk Receptionist / Patient Care Coordinator. This role is essential in creating a welcoming environment for patients, coordinating care, and ensuring efficient front office operations.

Key Responsibilities:

Front Desk Duties

• Greet patients warmly upon arrival and provide excellent customer service.
• Answer, screen, and direct phone calls in a courteous and professional manner.
• Schedule appointments, reschedule, and manage cancellations.
• Verify and update patient demographic information and insurance details.
• Collect copayments and process payments accurately.
• Maintain a clean and organized reception area.

Medical assistant responsibilities for insurance verification

• Verify patient insurance:Confirm the patient's coverage by checking their policy number, group ID, and the name of the insurance company.
• Check benefits:Determine the patient's financial responsibility by verifying co-pay, co-insurance, and deductible amounts.
• Obtain pre- authorizations:Request and manage prior authorizations for tests, procedures, or services that require insurance approval before they are performed.
• Communicate with patients:Explain their insurance benefits and out-of-pocket costs to them, helping them understand their financial obligations before their visit.
• Maintain records:Keep detailed and accurate records of all insurance verification and authorization processes.
• Process claims:Submit claims to insurance companies and follow up on any denials or discrepancies.
• Handle administrative tasks:Assist with related tasks such as scheduling appointments, collecting co-pays at the time of service, and answering phone lines.
  

How it is performed

• Manual verification:In smaller offices, this might involve a medical assistant manually checking the insurance card and then calling the insurance provider to verify coverage over the phone.
• Automated verification:Most offices use software that communicates with insurance provider computers to verify coverage electronically.

Patient Care Coordination

• Assist with patient check-in and check-out procedures.
• Provide patients with necessary forms and explain completion instructions.
• Ensure patients understand appointment procedures and any required documentation.
• Act as a liaison between patients and clinical staff to address inquiries or concerns.
• Coordinate referrals, authorizations, and follow-up appointments as needed.

Administrative Tasks

• Manage and maintain electronic medical records (EMR) accurately.
• Monitor and respond to emails and messages promptly.
• Ensure compliance with HIPAA and maintain patient confidentiality.
• Assist with office supply inventory and ordering.
• Support the team with additional clerical tasks as needed.

Qualifications

• Education: High school diploma or equivalent required.
• Experience: Minimum of 1 year in a medical office or customer service role preferred.
• Proficient in EMR systems and Microsoft Office Suite.
• Familiarity with family or mental health services is a plus.
• need billing experience

Skills & Abilities

• Strong interpersonal and communication skills.
• Ability to multitask in a fast-paced environment.
• High attention to detail and organizational skills.
• Compassionate and patient-centered approach.
• Problem-solving abilities and a proactive attitude.

Work Environment

• Professional medical office setting.
• Regular interaction with patients, families, and clinical staff.
• May require occasional evening or weekend shifts based on operational needs.