What are the responsibilities and job description for the Medical Practice Representative II position at University of Maryland Faculty Physicians, Inc?
Performs various front desk and clerical duties in a medical office including such functions as complete demographic and insurance registration, charge entry, scheduling patients and/or verifying insurance information; and other duties as assigned.
EDUCATION and/or EXPERIENCE
- High school diploma or general education degree (GED) preferred
- Two to three years medical office experience
- General understanding and application of basic accounting principles
- PC proficiency
- Strong customer service skills
- Accurate data entry skills
- Current knowledge of payer requirements for referrals and pre-authorization
- Knowledge of GE, EPIC or similar computerized billing system
- Medical terminology preferred
ESSENTIAL JOB FUNCTIONS
1. Demonstrates knowledge of FPI and its practices, including payer contracts, policies and best practices.
2. Exhibits mid-level of skill in managing provider schedules and scheduling appointments accurately and effectively, including communicating patient responsibilities (obtaining a referral, bringing a co-pay, presenting identification and an insurance card at check in) and other events as part of the practice pre-visit activities.
3. Demonstrates the ability and understanding of FPI policy for cash collection and patient encounter, including collecting co-payments, outstanding balances and posting accurately and efficiently in GE Front Desk Credit Card Module.
4. Demonstrates a working knowledge of the revenue cycle as it relates to patient encounters and obtaining/verifying patient demographic and insurance information in order to receive payment for services rendered.
5. Maintains Registration Certification to include entering accurate information in the GE Practice Management System and exhibiting a high level of understanding payer categories and Registration FSCs.
6. Schedules patients for evaluations, re-evaluations and treatment. Accepts referrals from social workers, discharge planners, physicians and physicians’ offices.
7. Obtains and inputs all pre-authorization insurance and pertinent demographic information. Information is input into the IDX scheduling system.
8. Answers telephone lines and triages calls to appropriate physician, nurse practitioner, nurse or department.
