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Front Office / Prior Authorizations Specialist

240 NC-105 Extension #100, Boone, NC 28607, USA

Job Type

Full Time

About the Role

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


Education: High school diploma.

Experience: Minimum one year of experience in an appointment scheduling position, preferably in a medical practice setting, insurance, and prior authorization.

About the Company

"HCCH provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, HCCH complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
HCCH conducts background checks on all final candidates. Employment is contingent upon a clear background check or approval of the CEO"

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