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Practice Representative

Practice Representative

Georgia Eye Institute of the Southeast LLCHinesville, GA, US
30+ days ago
Job type
  • Full-time
Job description

Job Description

Job Description

Description :

Job Title : Practice Representative

Location : Hinesville, GA

Reports To : Practice Representative Manager

Employment Type : Full Time

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 :

    Qualifications & Skills :

  • Strong communication skills for patient and insurance interactions.
  • Proficiency in using practice management systems and electronic medical records (EMR).
  • Attention to detail in data entry and document management.
  • Basic knowledge of insurance policies, referrals, and authorizations.
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    Practice Representative • Hinesville, GA, US