Job description

JOB SUMMARY: Serve as the patient point of contact with the practice to maintain open channels of communication to keep patients engaged and maintain an efficient flow of patients from patient registration, insurance verification, initial contact and surgeon consultation through the surgical pathway to complete insurance and program criteria, and medical clearances to be submitted to insurance provider for approval for surgery, and throughout their process of care. Serves also as the initial point of contact for persons interested in bariatric surgery, provide information and education to potential patients, doctors, and other interested parties regarding the practice, and the bariatric surgery program. Be knowledgeable of the insurance criteria for weight loss surgery (WLS), the surgeon (biography) and practice as well as the surgical procedures to provide one-on-one conversations face to face and via telephone to potential patients interested in bariatric surgery, including an explanation of program requirements and the surgery process. Participate in education seminars to the public.

DUTIES AND RESPONSIBILITIES (THIS LIST MAY NOT INCLUDE ALL OF THE DUTIES ASSIGNED.)

• IT IS IMPERATIVE THAT ALL PATIENT ENCOUNTERS/NOTES ARE RECORDED IN PRACTICE MANAGEMENT SYSTEM/EMR.

• Reviews patient registration to ensure it is complete

• Verifies all insurance and notes it in Practice Management System/EMR.

• Responsible for maintaining bariatric surgery criteria current with insurance providers and informing staff of any changes/updates.

• Communicate to patients and coworkers in a professional, enthusiastic, friendly and positive manner. • Initiates patient into surgery pipeline, serves as advocate for patient and schedules initial consultation with surgeon.

• Communicates insurance benefits, deductibles, coinsurance, financial responsibilities and any additional medical testing/screening to patients.

• Secures Pre-determinations & Pre-Certifications for all bariatric procedures as well as any general surgery, i.e. gallbladder, hernia repair, etc.

• Handle physician referrals to bariatric practice ensuring that doctor’s info is in the practice management system/EMR. Referral is acknowledged and notified that patient is verified, assigned, contacted and initiated into surgery process.

• Prepare and submit Letters of Medical Necessity and ensure that all insurance criteria & medical clearances have been completed.

• Upon insurance approval, communicates approval to patient, collects financial fees due, schedules pre op consultation, advises patient of surgery date and schedules 1 week post op appointment.

• Handle all appeals and denials in conjunction with patient's care.

• Participate in patient education seminars or meet the doctor events with other members of practice staff, educating interested parties about the bariatric surgery program. Prepare physical space for seminars/events.

• Assist other staff members to deliver the highest quality of patient care which includes being a team player to execute not only your duties but those that are needed by the practice when necessary

Job Type: Full-time

Benefits:

• 401(k)
• Dental insurance
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Parental leave
• Tuition reimbursement
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Ability to commute/relocate:

• Southlake, TX 76092: Reliably commute or planning to relocate before starting work (Required)

Experience:

• EMR systems: 1 year (Preferred)

Work Location: In person

learninglandscape.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, learninglandscape.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, learninglandscape.com is the ideal place to find your next job.