Front Office/Prior Authorizations

Description

Front Office duties include:

• Check patients in and verify demographics including telephone numbers, addresses, guarantor and insurance information at each visit
• Scan Insurance card and link insurance in patient’s chart
• Update new paperwork yearly
• Obtain proper documentation for SFS applicants and calculate household income accurately and acquire second signature for verification 
• Capture picture of the patient if not already done
• Distribute patient questionnaires when necessary
• Answer telephones courteously and send patient messages to appropriate staff
• Schedule appointments
• Call and remind patients of their upcoming appointments
• Collect co-pays, deductibles and outstanding balances on patient accounts
• Post co-pays and SFS payments as pre-payments
• Check eligibility on patients not included in the daily batch, i.e. walk ins or work ins
• Review insurance eligibility and address any errors with eligibility as the patient checks in at each visit
• Scan paper documents into patients’ chart when completed
• Must be able to perform check out duties as well on days covering both positions
• Ensure daily workflow is maintained
• Other duties as assigned

Prior Authorization duties include:

• Responsible for all aspects of the prior authorization process
• Collecting all the necessary documentation
• Contacting the patient for additional information to ensure completion of the required prior authorization for the prescribed medication. 
• Interacts with patients, and insurance companies as necessary, to request prior authorizations.  
• Provides the highest level of customer service to internal and external clients. 
• Other duties as assigned