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About the Role

Improve patient health through an innovative, patient-focused culture. This role is dedicated to making a difference in the health and quality of life for the population served.

Responsibilities

Coordinate the referral process from scheduling to visit completion.
Act as a liaison between primary care physicians, specialty physicians, and patients.
Review and verify insurances requiring pre-authorizations and monitor timelines.
Inform referring providers of patient compliance and referral patterns.
Train new staff members.
Perform referral coordination, including completing Open Referrals and referral tracking.
Work queues according to department standards.
Follow up with referred providers to ensure appointments were kept and results received.
Verify out-of-network referrals.
Process urgent referrals same day and routine referrals within 24-72 hours.
Communicate out-of-network insurance deductibles and co-insurance to patients.
Acquire medical necessity documentation.
Obtain prior approval or authorization as required by insurance.
Ensure accurate demographic and insurance information is entered or scanned.
Communicate referral appointment instructions to patients.
Update clinicians on referral/insurance/prior authorization status.
Act as a liaison with external provider offices.
Meet with new clinicians to orient them to the referral process.
Alert management of referrals unable to be completed due to missing information.
Communicate patient no-shows or non-compliance to ordering clinicians and take follow-up action.
Schedule appointments according to department guidelines, offering alternatives when appropriate.
Ensure accurate data capture for regulatory and compliance requirements.
Maintain knowledge and proficiency in front desk services, including demographic and financial screening, insurance verification, and compliance monitoring.
Make corrections to demographic and insurance information within 24 hours.
Answer patient questions regarding the organization and services, and provide directions.
Ensure complete and accurate information is recorded to support reimbursement, compliance, and patient care.
Take ownership of the entire patient experience, including scheduling, registration, and referral duties.
Run and process daily operational reports.
Answer incoming calls from patients, insurance companies, and medical offices.
Take clear, complete, and accurate phone messages and follow up.
Date stamp and deliver incoming patient information daily.
Complete basic patient demographic information on forms.
Mail outgoing patient information within 24 hours of completion.
Prepare correspondence to patients and/or other entities.
Prepare outside patient health information for scanning.
Maintain appropriate inventory of office supplies and forms.
Adapt to various workflows, processes, and policies.
Communicate patient issues/concerns to providers.
Ensure appropriate forms are given to patients based on appointment type.
Assist patients in navigating all stages of their referral.
Maintain competency in programs required for daily responsibilities and insurance issues.
Attend required in-services.
Identify and attend necessary computer training.
Attend staff meetings and review minutes of missed meetings.
Maintain job-specific knowledge and proficiency through meetings, training, and documentation.
Maintain knowledge of Bassett financial classes/payers and local carrier's medical coverage policies.
Perform similar or related duties as requested.

Requirements

Minimum 2 years office experience required.
Medical office/billing experience preferred.
Occasional balancing, climbing, crouching, grasping, kneeling, lifting, pulling, pushing, reaching, standing, stooping, and walking.
Frequent typing/clerical/dexterity, hearing, repetitive motion, seeing/monitor/computer use, talking, and visual acuity (color, depth, perception).
Occasional travel may be required.

Skills

Accountability
Attention to Detail
Communication
Customer Service
Facilitate

Location

Regional health centers

Work Type

Full-time

Experience Level

Minimum 2 years office experience

Education Level

High School or GED required
2 Year/Associate Degree preferred

Salary/Compensations

USD $18.38/Hr. - USD $27.57/Hr.

Benefits

Paid time off, including company holidays, vacation, and sick time
Medical, dental and vision insurance
Life insurance and disability protection
Retirement benefits including an employer match

About the Company

Bassett Healthcare Network is committed to improving patient health and quality of life.
The organization fosters an innovative, patient-focused culture.
They are dedicated to helping the population they serve achieve optimum health.

Equal Opportunity

Bassett Healthcare Network provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, creed, sex (including pregnancy, childbirth, or related condition), age, national origin or ancestry, citizenship, disability, marital status, sexual orientation, gender identity or expression (including transgender status), genetic predisposition or carrier status, military or veteran status, familial status, status as a victim of domestic violence, or any other status protected by law.