Responsible for verifying and updating patient registration information in Epic, obtaining benefit verification and required authorizations prior to patient arrival, and supporting smooth patient intake for ambulatory visits, procedures, injections, and radiology services.
Acts as a liaison between health plans, physicians, clinic staff, patients, and internal/external customers. Reviews insurance eligibility and coordination of benefits, creates and attaches referrals to pending visits, updates patient demographic and registration information, and supports claims reimbursement by ensuring accurate documentation and timely processing.
Handles collection and documentation of patient referrals for specialist care, responds to questions regarding referral status and care coordination, identifies trends or issues for management, and completes additional duties as assigned.
High school diploma and 2 years of prior experience in the medical field.
Must have excellent phone etiquette and strong verbal, written, and listening skills. Requires strong customer service skills, tact, and sensitivity in stressful situations.
Knowledge of medical terminology and CPT, HCPCS, and ICD coding is required. Prior experience using electronic medical records is preferred.
Must be able to maintain confidentiality, follow HIPAA requirements, and process 60–80 referrals daily.
Preferred education includes an associate degree or bachelor's degree in Healthcare or a business-related field.
Location
Virginia, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago