Insurance/Front Desk Coordinator

Company Background:  We are creating a new position for our office. We are looking for a long term employee that is interested in helping our practice grow.  We currently have one ophthalmologist on staff and another ophthalmologist to start in the late summer 2008.  We have plans to expand our current location in Munster and to open up a second location in St. John.

Personal Skills:
This person must be a professional, self starter, team player, organized,  possess strong customer service skills, problem solver, multi tasked oriented and understand how to effectively lead a team.There is potential for long term growth. 

Professional Skills:
Healthcare Insurance Certifications and/or undergraduate degree in healthcare.  Previous healthcare work experience preferably in an office setting.  Microsoft Excel and Word Proficient.

Job Description: 

Contracting
maintain insurance contracts  - new and oldassess new contracts and review old contracts obtaining current fee schedulesunderstand reimbursement rules - codes payable and filing limitunderstand plan participation  for contracted insurance companies contract terms -fee schedule calculations and termination datesmaintain/update various insurance reference manualsphysician credentialing

 


Front Desk

oversee day to day front desk operations:recalls, dictation, wait list, record release, waiver usetroubleshoot front desk problemscoordinate/maintain training protocolimplement/oversee protocol for vision, medical and surgical prior authorizationsmaintain highest level of customer service to the patientsmaintain computer edit issues for the front desk and insurance tablesoversee front desk schedule for all physiciansliason in between billing department, optical and patient care departments



Miscellaneous

Maintain/implement PQRI protocol Maintain/implement NPI guidelinesMaintain/implement front desk protocol manualDevelop/maintain/implement financial policyMaintain patient registration formsMaintain/implement outside ordered test manual