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Pediatrix

Medical Referral Specialist

Pediatrix, Lawrenceville, Georgia, United States, 30243

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Requisition ID:

2024-45460

Location:

US-GA-Lawrenceville

Position Type:

Full Time

HR Rep / Recruiter:

Colin Mix

Contact:

colin.mix@pediatrix.com

Responsibilities The

Patient Service Associate

is responsible to ensure smooth clinic, patient and billing flow by greeting and directing patients to their various appointments, preparing the daily clinic schedule and updating the physicians' schedules, maintaining patient files and records, interfacing with the different corporate departments and by receiving and directly patient questions to appropriate people. Works as a team member to facilitate patient care and optimize the revenue.

Handle high volume incoming calls.

Review the charts and insurance referrals/authorizations and taking appropriate action to assure proper maximal reimbursement.

Assist the physicians and/or administrators in all business and patient care responsibilities.

Communicates effectively and courteously with and demonstrates a caring attitude toward patients and their families.

Ensure all patient demographic and insurance information.

Answer telephones using correct telephone etiquette at all times, recording legible and complete messages, handling questions, transferring incoming calls appropriately, contacting physicians, insurance companies, hospitals, diagnostic facilities, billing departments, etc... as necessary.

Review patient intake information to verify insurance coverage.

Verify patient insurance information, call for insurance authorization, patient address, telephone, etc.

Responsible for scheduling new and follow up appointments including patient testing.

Brings new ideas, positive attitude and lots of energy.

Responsible for maintaining and recording patient schedule.

Identify and collect co-pays, deductibles and other payments.

Reconcile patient payments on a daily basis received to cash box and receipt journal.

Prepare billing sheets.

Review all billings sheets to ensure they contain necessary information needed to create a claim such as physician name and number, patient name and number, insurance code, referring physician and code, etc.

Direct billing inquiries to appropriate Regional Office.

Ensure the clinical staff submits all outpatient billing sheets daily.

Maintains patient confidentiality.

Qualifications

High School diploma or equivalent required.

Three years recent experience in a related position in a medical office experience preferred.

Ability to prioritize jobs duties and meet deadlines.

Ability to effectively work on many tasks at one time.

Have superior customer service and verbal and written communication skills.

Strong computer knowledge; experience preferred.

Knowledge of common safety hazards and precautions to establish a safe work environment.

Knowledge of medical terminology, obstetrical and/or perinatal coding, office billing forms, insurance and government payer regulations and other third party billing requirements preferred.

Must be able to work cooperatively in a team environment.

Ability to handle stressful situations.

Excellent organizational, time management, and attention to detail capabilities.

Occasional travel to other local sites on a coverage basis.

Medical Referral experience preferred.

Insurance verification and benefits eligibility experience preferred.

Benefits and Compensation Benefits for Full Time employees and qualified dependents:

Medical, Dental, Vision Insurance

Progyny Fertility Benefits

Teladoc Health and Second Opinion Services

401(K) Thrift Program & Sharing Plan**

Employee Stock Purchase Plan (ESPP) - 15% discount*

Basic Employee; Spouse; Child Life Insurance

Accidental Death and Dismemberment (AD&D)

Employee Optional Life and AD&D

Short & Long Term Disability

Pre-Tax Health Savings Accounts (HSA)

Employee and Dependent Flexible Spending Account (FSA)

Family Medical Leave Act (FMLA)

Parental Leave Benefit

Sick Pay Bank

Employee Assistance Program (EAP)

Group Aflac Policies

Identity Theft Protection

Employee Charitable Fund

Care.com

Continuing Education Assistance

Various Discount Programs

*Part Time Regular employee classifications also receive this benefit

**Available to part-time regular and part-time casual employees aged 21 and over

About Us Pediatrix Medical Group is one of the nation's leading providers of highly specialized health care for women, babies and children. Since 1979, Pediatrix has grown from a single neonatology practice to a national, multispecialty medical group. Pediatrix-affiliated clinicians are committed to providing coordinated, compassionate and clinically excellent services to women, babies and children across the continuum of care, both in hospital settings and office-based practices. The group's high-quality, evidence-based care is bolstered by significant investments in research, education, quality-improvement and safety initiatives.

Please Note: Fraudulent job postings/job scams are becoming increasingly common. All genuine Pediatrix job postings can be found through the Pediatrix Careers site: www.pediatrix.com/careers.

Pediatrix is an Equal Opportunity Employer All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.

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