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Position: PT Patient Representative
Status: Full Time
Hours: Monday-Friday 8:00am-5:00pm (1hour lunch)
Location: Morganton – PT
Date Posted: August 17, 2021
General Job Duties:
Provides customer service to patients and administrative support to physicians, PT/OT providers and other staff members in a courteous and efficient manner.
Essential Duties & Responsibilities:
- Answer multi-line telephones and take appropriate action, check messages and return calls.
- Check in patients. Gather and give patient needed forms. Verify all forms are complete and signatures are in place. Obtain copy of all insurance cards. Obtain RX from patient if needed. Scan all information into EHR.
- Collect and post patient payments and issue receipts.
- Verify insurance. Verify that all patient information is correct and entered correctly in the computer.
- Make new patient chart
- Process patients walk-ins (from COS physicians and outside sources)
- Call patients to schedule their appointments Call insurance for every patient to obtain authorizations and pre-certs
- Call patients that no show or cancel to reschedule visit
- Run patient lists and pull charts for providers
- Chart prep-track authorizations and visit count (e.g., if only 10 visits are authorized, we track visit count to prevent unauthorized visits)-make sure we are within the date limits for Medicaid. Process chart for charge entry-make sure all information is on the appointment for correct billing source-special instructions such as CAP MET and date last seen by doctor for Medicare-Carolina Access doctor for Medicaid.
- Monitor insurance requirements, new rules and regulations, e.g., Medicare therapy cap amount for that year and share information with PT/OT staff.
- Obtain new authorizations for WC and all insurances that require pre-certs and visits limits to prevent patients from having a lapse in therapy.
- Scanning of all therapy paperwork-evaluations-progress notes from doctors-new orders-authorizations from WC carriers, insurance companies, Medicaid
- Track evals, progress notes and discharge notes to doctors for approval/signature to help ensure return within 30 days. Fax to outside referral sources and scan into EHR.
- Post payments and close of day-to balance; fax all info to billing manager
- Process discharged patients; after patient is discharged or has stopped attending therapy, the chart is given to the therapist to write a DC note; note is then sent to the doctor to sign and return; upon return, the chart is scanned into the EHR. At this point, all patient information is reviewed to make sure Eval and DC are signed to complete discharge.
- Assist therapists with needed patient information (e.g., next doctors appt, where the doctor is at that time, make a phone call to patient or doctor, obtain op notes and doctors dictation)
- Complete TherapyWorks reception form by logging scheduled visits, scheduled evals, cancelled evals, cancelled follow-ups and hours for each provider each day
- All other duties as assigned.
Position: PT Patient Representative
Status: Full Time
Hours: Monday-Friday 8:00am-5:00pm (1hour lunch)
Location: Morganton – PT
Date Posted: August 17, 2021
General Job Duties:
Provides customer service to patients and administrative support to physicians, PT/OT providers and other staff members in a courteous and efficient manner.
Essential Duties & Responsibilities:
- Answer multi-line telephones and take appropriate action, check messages and return calls.
- Check in patients. Gather and give patient needed forms. Verify all forms are complete and signatures are in place. Obtain copy of all insurance cards. Obtain RX from patient if needed. Scan all information into EHR.
- Collect and post patient payments and issue receipts.
- Verify insurance. Verify that all patient information is correct and entered correctly in the computer.
- Make new patient chart
- Process patients walk-ins (from COS physicians and outside sources)
- Call patients to schedule their appointments Call insurance for every patient to obtain authorizations and pre-certs
- Call patients that no show or cancel to reschedule visit
- Run patient lists and pull charts for providers
- Chart prep-track authorizations and visit count (e.g., if only 10 visits are authorized, we track visit count to prevent unauthorized visits)-make sure we are within the date limits for Medicaid. Process chart for charge entry-make sure all information is on the appointment for correct billing source-special instructions such as CAP MET and date last seen by doctor for Medicare-Carolina Access doctor for Medicaid.
- Monitor insurance requirements, new rules and regulations, e.g., Medicare therapy cap amount for that year and share information with PT/OT staff.
- Obtain new authorizations for WC and all insurances that require pre-certs and visits limits to prevent patients from having a lapse in therapy.
- Scanning of all therapy paperwork-evaluations-progress notes from doctors-new orders-authorizations from WC carriers, insurance companies, Medicaid
- Track evals, progress notes and discharge notes to doctors for approval/signature to help ensure return within 30 days. Fax to outside referral sources and scan into EHR.
- Post payments and close of day-to balance; fax all info to billing manager
- Process discharged patients; after patient is discharged or has stopped attending therapy, the chart is given to the therapist to write a DC note; note is then sent to the doctor to sign and return; upon return, the chart is scanned into the EHR. At this point, all patient information is reviewed to make sure Eval and DC are signed to complete discharge.
- Assist therapists with needed patient information (e.g., next doctors appt, where the doctor is at that time, make a phone call to patient or doctor, obtain op notes and doctors dictation)
- Complete TherapyWorks reception form by logging scheduled visits, scheduled evals, cancelled evals, cancelled follow-ups and hours for each provider each day
- All other duties as assigned.
High school diploma or equivalent required.
Required Skills:
- Ability to establish and maintain courteous and professional working relationship with other staff and patients.
- Good social and communication skills.
- Excellent organizational, communication and customer service skills
- Ability to identify claim problems and recommend solutions
