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The Plus Group is seeking a Medical Receptionist to be responsible for all or some of the following responsibilities as directed by leadership:verifying insurance benefits, collections, payment analyst and appeals, and billing claims and patient responsibility in accordance with hospital compliance program and regulatory requirements.
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Performs all insurance verification duties to provide a high level of service to the patient and physicians.
Performs timely verification of insurance benefits for all patients scheduled, preferably 3-5 days prior to date of service.
Calculates estimated patient responsibility and documents amount and benefits in EMR system.
Conducts pre-certification and authorization and communicating any discrepancies to the Business Office Manager and/or Case Manager.
Executes day to day collection and payment activities to maximize reimbursement and ensure positive cash flow.
Participates as a member of the team to promote a positive working environment, and provides back-up support when requested or necessary.
Participates in continuing education and quality improvement initiatives.
Participates in quality improvement activities as requested.
Participates in department staff meetings for informative and educational purposes.
Participates in orientation of new staff as requested to promote the mission and values of the hospital.
Completes all employee/patient incident documentation in a thorough and timely manner, as required by facility policy.
Perform other duties, as assigned.
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Experience/Knowledge/Skills:
Experience in a clerical role as would typically be obtained in one year.
Knowledge of medical terminology preferred.
Excellent professional, organizational, and communication skills.
General office and secretarial skills preferred.
Strong interpersonal skills.
Ability to use personal computer and word processing software (Word/Excel etc.).
Knowledge of office machines.
Ability to treat all patient and employee information as confidential.
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Must be able to complete background and drug screen upon offer.
Must be able to provide proof of eligibility to work in the U.S.
Must be able to provide vaccination record and have a current TB test
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Please call Tawnya at 530-671-1111 if interested or would like more information.
