Facility St. Joseph Regional Medical Center
Req ID 537279 Post Date 08/23/2025 Category Accounting and Finance
Req ID 537279 Post Date 08/23/2025 Category Accounting and Finance
Description
Job Summary
- Assists in coordinating the activities between scheduling, insurance verification and pre-certification
- Collaborates with a variety of personnel and departments to ensure smooth clinic operations
Primary Duties
- Pre-registers/registers patients with accurate patient demographic, financial data. Upon registration, address co-pay, co-insurance, for scheduled appointment/procedure, etc.
- Verifies coverage and ensures all insurance requirements are met, as well as obtaining all prior authorization and/or referrals as appropriate prior to patient arrival
- Stays current with insurance requirements
- Responds to customer’s inquiries in a timely and professional manner
- Assists with departmental coverage as needed
- Manages daily appointment schedules which may include reminder calls and calling all referrals
- Collects co-pays and perform co-pay reconciliation
- Responsible for scanning and accurately placing documents, results, into the patient electronic medical record
- Responsible for reviewing the patient electronic medical record in advance of patient appointment to assure that all required documents are in place.
- Establishes priorities and accomplishes task in a timely manner
- Performs other duties as assigned
Qualifications
EDUCATION & EXPERIENCE
Required:
- One year customer service experience.
- Experience using Microsoft Office applications, including Word, Excel and Outlook.
Preferred:
- High School Diploma/GED diploma.
- One year of medical office or related experience.
- Demonstrated knowledge of Medical Terminology and CPT/ICD9 coding.
- Knowledge of insurance process and regulations.
WORKING CONDITIONS
- Must possess appropriate knowledge/skill to work in environment where there is potential for contact with communicable diseases, odors, fumes and other biohazards
- Possess ability to communicate verbally and in writing; hearing adequate to respond appropriately to phone, equipment, alarms, etc.
GENERAL POSITION INFORMATION
- The position is essential for the functioning of the St Joseph Medical Group
- The work load is generated by the number of patients the providers encounter each day
- Requires ability to make decisions and judgments based on knowledge and experience