Medical Receptionist

Job Summary:

Greet clients of all ages and/or their representatives and obtains all pertinent information needed to complete the intake record.  Reviews and verifies all third party payer information by making contact with payers or verify information through on-line verification tools regarding coverage and benefits.  Posts dental charges and payments.

Functions and Responsibilities:

1.0          Obtain all pertinent clients intake information

1.1      Greet clients of all ages and obtains all pertinent information to ensure accurate capture of data for billing and reporting purposes

1.2      Explains all forms requiring completion to the client or their representative

1.3      Schedules client appointments according to department procedure

2.0          Verifies all third party payer information.

2.1      Identifies client’s insurance company or managed care plan and benefit eligibility

2.2      Provides insurance company with required information

2.3      Ensures clients are eligible for services prior to treatment

3.0          Responds to incoming customer calls

3.1      Answers questions and/or refers calls to appropriate staff

3.2      Takes messages, when appropriate

3.3      Schedules appointments according to procedure

4.0          Clerical responsibilities

4.1      Reminds clients of appointment by calling the day before the appointment

4.2      Scans forms into Centricity

4.3      Ensures demographic information is up-to-date and accurate

4.4      Verify insurance prior to treatment and update chart

4.5      Faxes prescriptions to pharmacy as directed by dentist

4.6      Performs Release of Information duties

4.7      Maintains patient waiting list, denture waiting list, new patient tracking, and referral tracking spreadsheets

5.0          Client billing and collections

5.1      Collect client co-payment

5.2      Post charges into billing system after encounter

5.3      Post payments into accounts receivable upon receipt

5.4      Daily reconciles Day Sheet

6.0          Participates with the medical team to make sure patients are seen efficiently

7.0          Miscellaneous Duties

7.1      Responsible for personal compliance with LSCHC

7.2      Maintains patient confidentiality

7.3      Other duties as assigned

7.4      Communicates with all other staff members

Job Qualifications:

• High school graduate or GED
• Experience in healthcare business operations, preferred
• Experience with insurance verification, billing and/or processing payor information, preferred

Job Knowledge, Skills and Abilities:

• Computer and Microsoft Office software knowledge
• High level of customer services skills, tact and diplomacy
• Knowledge of healthcare and dental practices
• Excellent oral and written communication skills
• Strong ability to organize and prioritize work
• Demonstrates ability to consistently achieve a high level of accuracy and attention to detail
• Ability to work under stressful conditions