Job Description

Overview of the Role:

The Business Office Specialist is responsible for insurance verifications and appointment scheduling.

• Educating patients: Informing patients about their insurance coverage and financial obligations

• Communicating with healthcare providers: Sharing information with healthcare providers about a patient's insurance coverage

• Answering calls: Handling calls from patients and others regarding insurance claims

• Verifying patient eligibility: Ensuring that a patient's insurance covers the medical services they need

• Obtaining pre-authorizations: Getting the necessary approval from the insurance company before a patient receives medical services

• Processing insurance claims: Making sure claims are processed correctly

• Resolving discrepancies: Working with insurance companies to resolve any issues with a patient's claim

• Updating patient records: Keeping patient records up to date with billing details and insurance information

• Calculating patient financial responsibility: Determining how much a patient is responsible for financially

• Scheduling appointments:

Booking new patient appointments, rescheduling existing appointments, and managing cancellations based on physician availability and patient needs.

• Patient communication:

Answering patient calls, addressing inquiries, providing appointment reminders, and confirming appointment details.

• Data entry and recordkeeping:

Accurately recording patient information including contact details, medical history, insurance information, and appointment details in the electronic medical record system.

• Insurance verification:

Checking patient insurance eligibility and verifying coverage for scheduled procedures.

• Patient registration:

Gathering necessary paperwork and updating patient demographics when required.

• Managing waiting lists:

Maintaining a waiting list for appointments and scheduling patients accordingly when cancellations occur.

• Coordination with medical staff:

Communicating with physicians and other healthcare providers regarding appointment availability and patient schedules.

• Handling administrative tasks:

Performing clerical duties like filing, copying documents, and maintaining appointment calendars.

• HIPAA compliance:

Adhering to HIPAA regulations regarding patient privacy and data protection.

Qualifications

• At least 1 to 3 years’ experience in Insurance verification and scheduling patients.

• Excellent customer service and interpersonal skills

• Must be able to work under time constraints and pressure

• Extremely detail oriented

• Ability to write comprehensive and detailed notes

• Ability to effectively train staff members

• Ability to effectively communicate (verbal and written)

• Ability to resolve conflicts in a professional manner

Compensation for this role is ranges from $16-$19 Per Hour. Final compensation will be based on a comprehensive assessment of your qualifications, including years of experience, educational background, and location.

Education/Certificate/License

• High school diploma

Physical Demands

Work may require sitting for long periods of time; also stooping, bending and stretching for files and supplies; occasionally lifting files or paper weighing up to 30 pounds; requires manual dexterity sufficient to operate a keyboard, operate a telephone, copier and such other office equipment as necessary; vision must be correctable to 20/20 and hearing must be in the normal range for telephone contacts; it is necessary to view and type on computer screens for long periods and to work in an environment which is very stressful.

Additional Information

All your information will be kept confidential according to EEO guidelines.

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**Technical Requirements (for remote workers only, not applicable for onsite/in office work):**

In order to successfully work remotely, supporting our patients and providers, we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed. This should be acquired prior to the start of your employment. The best measure of your internet speed is to use online speed tests likehttps://www.speedtest.net/. This gives you an update as to how fast data transfer is with your internet connection and if it meets the minimum speed requirements. Work with your internet provider if you have questions about your connection. Employees who regularly work from home offices are eligible for expense reimbursement to offset this cost.

Privia Health is committed to creating and fostering a work environment that allows and encourages you to bring your whole self to work. Privia is a better company when our people are a reflection of the communities that we serve. Our goal is to encourage people to pursue all opportunities regardless of their age, color, national origin, physical or mental (dis)ability, race, religion, gender, sex, gender identity and/or expression, marital status, veteran status, or any other characteristic protected by federal, state or local law.