The Offica Clerical at TOA assist in the operations in each clerical department. Demonstrates a broad encompassing knowledge and expertise within each department
FRONT DESK - Check in and check out, make charts, enter demographics, check current insurance, get referrals, collect copays and past balances, patient estimator for coin make return appointments.
Surgery – Get Benefits and precertification, schedule with hospital or surgery center, give surgery packets to patient, schedule therapy, schedule any specialist that need supplies for surgery, enter all info in the Drs. Surgery book , outlook calendar, Nextgen, fax orders to hospital. Workers comp for sports side, schedule tests (CT, bone scan, Doppler) check in surgery tickets.
Therapy- covers the check in check out, collect copays
Reports- Unapplied report, adjustment request, self-pay aging, audits,
Operator- answer and direct callers
Appointments- answer phones to schedule appointments with patients and doctor’s offices, schedule per individual doctor’s specializations and personal specifications, obtain faxed referrals from outside physician offices and contact patient for scheduling, submit paperwork for second opinion appointment requests to doctors in timely manner, contacting Rockhopper appointment requests upon immediate receipt of request, maintain professionalism at all times with patients, assist in routing calls to other TOA departments, build rapport with doctors and nurses for scheduling preferences.
VOI- verify all insurances for patients scheduled with physicians for office visits at TOA, contact outside insurance companies for benefits not provided through RTS or other internet sources, maintain staying at least one day ahead of schedule, distributing any insurance errors to schedulers to contact patients for correct information, update insurance information as necessary, submit daily reports of errors before and after corrections, assist with any insurance questions doctors, nurses, schedulers, and patients may have.
Get out of network referrals
Financial Counselor- set up payment plans and take surgery deposits ,collect past due balances.
Help all departments with Benefits as needed.
QUALIFICATIONS AND EXPERIENCE: