CBO Patient Service Representative
$41k-52k (estimate)
Full Time | Hospital
0 Months Ago
OrthoWest is Hiring a CBO Patient Service Representative Near Laguna Woods, CA
QUALIFICATIONS AND SKILLS:
• Experience working in a physician group practice preferred.
• Proficiency in computer automation, with emphasis on email/internet applications.
• Knowledge of practice management and word processing software
• Ability to multitask and perform in high stress/fast-paced work environment.
• Maintain neat, professional appearance and possess a positive disposition.
• Strong written and verbal communication skills.
• Basic to intermediate knowledge of medical terminology preferred
Essential responsibilities include, but are not limited to:
Appointment Scheduling Duties
• Receives all incoming calls from ACD, PSR queue.
• Determines if new or established patient, or the type of appointment.
• Determines treating physician for described issue.
• Obtains demographic/insurance information for new patients; verifies current insurance if established patient.
• Creates web account and educates patient how to properly log in and utilize patient portal.
• Verifies eligibility and explains to new patient copay/deductible collection policy at time of service.
• Determines if prior authorization is required (e.g., Worker’s Comp or IPA/HMO) before scheduling appointment.
• Instructs patient to bring in x-rays, MRI/CT imaging, or any other diagnostic testing to appointment if applicable.
• Verifies schedule for availability and advises patient of prospective dates at all available facilities.
• Documents description of chief complaint along with pertinent medical information, noting possession of diagnostic testing/reports and any previous evaluation by another physician, as well as, insurance type and patient acknowledgement of payment collection policy.
• Creates cases for IPA/HMOs and any Worker’s Compensation appointments with approved authorization number, number of allowed visits, referring physician and valid dates of authorization.
Other Duties
• Responds to written and telephone inquiries from patient and carriers regarding appointments.
• Distributes messages to the clinical staff when needed (prescription calls, testing, any clinical related questions)
• Schedules surgeries when needed to help out department.
• Contacts insurance carriers to verify eligibility and obtain authorization for surgeries when needed.
• Covers for PBX operator when needed.
• Maintains communication among the physician, patient, and insurance carriers when needed.
• Maintains patient confidentiality; complies with HIPAA and compliance guidelines established by the practice.
• Maintains detailed knowledge of practice management and other computer software as it relates to job functions.
• Attends continuing education courses as requested.
• Attends all regular staff meetings.
• Completes all other duties as assigned by the Manager or Team Leader/Supervisor.
• Experience working in a physician group practice preferred.
• Proficiency in computer automation, with emphasis on email/internet applications.
• Knowledge of practice management and word processing software
• Ability to multitask and perform in high stress/fast-paced work environment.
• Maintain neat, professional appearance and possess a positive disposition.
• Strong written and verbal communication skills.
• Basic to intermediate knowledge of medical terminology preferred
Essential responsibilities include, but are not limited to:
Appointment Scheduling Duties
• Receives all incoming calls from ACD, PSR queue.
• Determines if new or established patient, or the type of appointment.
• Determines treating physician for described issue.
• Obtains demographic/insurance information for new patients; verifies current insurance if established patient.
• Creates web account and educates patient how to properly log in and utilize patient portal.
• Verifies eligibility and explains to new patient copay/deductible collection policy at time of service.
• Determines if prior authorization is required (e.g., Worker’s Comp or IPA/HMO) before scheduling appointment.
• Instructs patient to bring in x-rays, MRI/CT imaging, or any other diagnostic testing to appointment if applicable.
• Verifies schedule for availability and advises patient of prospective dates at all available facilities.
• Documents description of chief complaint along with pertinent medical information, noting possession of diagnostic testing/reports and any previous evaluation by another physician, as well as, insurance type and patient acknowledgement of payment collection policy.
• Creates cases for IPA/HMOs and any Worker’s Compensation appointments with approved authorization number, number of allowed visits, referring physician and valid dates of authorization.
Other Duties
• Responds to written and telephone inquiries from patient and carriers regarding appointments.
• Distributes messages to the clinical staff when needed (prescription calls, testing, any clinical related questions)
• Schedules surgeries when needed to help out department.
• Contacts insurance carriers to verify eligibility and obtain authorization for surgeries when needed.
• Covers for PBX operator when needed.
• Maintains communication among the physician, patient, and insurance carriers when needed.
• Maintains patient confidentiality; complies with HIPAA and compliance guidelines established by the practice.
• Maintains detailed knowledge of practice management and other computer software as it relates to job functions.
• Attends continuing education courses as requested.
• Attends all regular staff meetings.
• Completes all other duties as assigned by the Manager or Team Leader/Supervisor.
Job Summary
JOB TYPE
Full Time
INDUSTRY
Hospital
SALARY
$41k-52k (estimate)
POST DATE
05/13/2023
EXPIRATION DATE
05/21/2024
WEBSITE
orthowest.com
HEADQUARTERS
OMAHA, NE
SIZE
50 - 100
FOUNDED
2004
TYPE
Private
REVENUE
$10M - $50M
INDUSTRY
Hospital
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