Patient Services I
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Lawall Prosthetics and Orthotics Services
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Patient Services I
Lawall Prosthetics and Orthotics Services
Posted 2 months ago
Full Time
Langhorne, Pennsylvania
In Person
Smart Summary
Responsibilities
The role involves processing work orders, verifying insurance benefits, and securing prior authorizations to ensure accurate patient account information. You will coordinate with medical staff and patients to facilitate efficient service delivery while maintaining compliance with payer requirements.
Qualifications
This role requires a high school graduate with excellent communication, organizational, and problem-solving skills. Proficiency in Microsoft Office Suite is necessary, along with the ability to handle confidential information and work effectively in a fast-paced environment. Prior experience in insurance verification, prior authorizations, or patient services within a healthcare setting is preferred.
Job Description
- Prepare and process work orders accurately and timely
- Obtain, review, and coordinate required documentation, including prescriptions, physician notes, and other supporting records needed to move orders forward
- Verify patient insurance benefits, confirm coverage criteria, and secure prior authorizations or pre-certifications as required
- Ensure data integrity and accuracy of patient account information, including HCPCS and ICD-10 coding, to support proper processing and reimbursement
- Communicate with patients regarding insurance coverage, financial responsibility, and next steps in the process
- Coordinate with physician offices, practitioners, and internal staff to obtain missing information and ensure orders are ready for delivery
- Maintain knowledge of payer-specific rules, documentation requirements, and authorization procedures
- Ensure orders are properly documented and meet company and insurance requirements prior to delivery
- Provide excellent customer service to patients, referral sources, and coworkers
- Document account activity clearly, accurately, and professionally
- Help maintain an efficient flow of service from order intake through readiness for delivery
- Complete other duties as assigned
- Works independently
- Uses good judgment
- Makes sound decisions
- Communicates professionally with patients, physician offices, insurance representatives, and coworkers
- Works effectively in a fast-paced environment
- Records information clearly, accurately, and concisely
- Handles sensitive and confidential information appropriately
- Meets deadlines, prioritizes tasks, and manages multiple accounts at once
- Proficient in Microsoft Outlook, Word, and Excel
- Organized and detail-oriented
- High school graduate
- Prior experience with insurance verification, prior authorizations, medical documentation, or patient service in a healthcare setting preferred
- Knowledge of anatomy and medical coding is a plus
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Lawall Prosthetics and Orthotics Services
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