JOB DESCRIPTION

Registration/Insurance Verification Clerk

POSITION TITLE: Registration/Insurance Verification EFFECTIVE DATE: 2023

PROGRAM: Registration REPORTS TO: Registration Manager

FACILITY: Gilmore OP CITY: Lakeland

JOB STATUS: PRN (as needed) FLSA: Non Exempt

Job Summary:

• Verify Insurance Eligibility
• Obtain authorizations for Outpatient Services
• Complete Reports
• Client Appointment Check In
• Schedule Appointments
• Input of Client Information
• Collect Co-Pays
• Answer Incoming Calls

General Expectations:

In the performance of their respective task and duties, all employees are expected to conform to the following:

• Fully understand and consistently exhibit all of Peace River Center's Core Values, while fostering the same with all direct reports.
• Perform quality work within deadlines with or without direct supervision.
• Interact professionally with other employees, customer and vendors.
• Work effectively as a team contributor on all assignments.
• Work independently while understanding the necessity for communicating and coordinating work efforts with other employees and organizations.

Essential Duties/Requirements/Activities:

• Verify the insurance for the patient or understand services provided which require insurance pre authorization and which carriers require preauthorization for inpatient and outpatient services and obtain the necessary authorization from the insurance carrier.
• Complete patients financials including authorizations for insurance. Identifying and ensuring that the initial authorization necessary for payment are obtained for client services.
• Handle incoming phone calls, interview patients over the telephone, complete data entry and scheduling process, schedule new and existing appointments in CMHC, update patient records, addresses, fee schedule as necessary.
• Complete/review all daily reports and make updates in client accounts as necessary.
• Comply with all Peace River Center Policies and Procedures and attend all mandatory training

Qualifications:

Education:

High School Diploma/GED

Experience:

• 1 year minimum in a clinical setting
• 2 year minimum in a business setting

Certifications:

None

Training:

None

Knowledge and Skills:

• Excellent written and verbal communication skills.
• Highly motivated, able to learn quickly and prioritize multiple tasks.
• Proficient in Word, Excel and the ability/willingness to learn other applications.
• Typing- Minimum 45-50 wpm.
• Ability to sit for long periods of time.
• Excellent data entry skills.
• Excellent organization skills.
• Ability to deal with stressful situations or irate recipients.
• Ability to make competent, independent decisions relating to the business office.
• Proactive approach to problem resolutions.
• Ability to review, record and report information relevant to insurance and authorizations.
• Ability to clearly discuss and train staff to discuss clinical/financial information with third party payers,
• Coworkers and clients.

Safety Equipment

Universal Precautions

Comply with Occupational Safety and Health Administration (OSHA) rules and regulations

Life Safety Equipment (fire extinguisher)

Transportation:

Must have reliable transportation

Physical Requirements:

Machines, Tool and Equipment Used:

Computer, multi-line telephone, fax, copier

Supervisory Relationship(s)

None

Work Environment:

The work environment is fast-paced and consists of exposure to physical conditions typical of a normal office environment. The populations cared for will include patients who are confused, delusional, irrational, agitated, or uncooperative. Most of the job is performed while sitting, although the work may require occasional standing or walking and/or the lifting and carrying of small objects. A small amount of travel may be required for meetings etc. to another PRC location.

EEO Statement

One of the greatest assets of the PRC is the ethnic, cultural, and social diversity of its employees. PRC takes great pride in the diversity and values and respect of all its employees, regardless of race, color, sex, marital status religion, national origin, ancestry, genetic information, age, disability, gender identification, or sexual orientation.