Jerri Riley

• Register Patients
• Answer telephone using AIDET
• Copay collections
• Obtain authorization for referrals
• Insurance Verification
• Handling faxes thru right fax labs, X-rays , newborn records , discharge summaries , mail sorting , batch scanning documents to EPIC

RESPONSIBLE FOR ALL IMAGING AUTH’S ORDERED IN OFFICE.

MAINTAIN PASSWORDS AND MAKE SURE INFORMATION ON INSURANCE PORTALS IS UP TO DATE..PHONE NUMBERS,NAMES, ADDRESSES ETC.

MAINTAIN CONSTANT COMMUNICATION WITH PHYSICANS AND MEDICAL ASSISTANTS REGARDING PATIENTS CARE, SCHEDULING FOR PEER TO PEERS AND ANY QUESTIONS REGADING AUTHORIZATIONS BEING REQUESTED.

RESEARCH PATIENTS INSURANCE, IF IT HASN’T BEEN CHECKED WITHIN SAME MONTH REACH OUT TO LISA TO VERIFY INSURACNE IS STILL THE SAME OR HASN’T CHANGED.

RESEARCH PATIENTS PREVIOUS IMAGING AND OR APPOINTMENTS ON POWER CHART.

UTILIZE DHIN IF NEEDED FOR PATIWNTS IMAGING RESULTS.

RESEARCH IF PATIENT HAS AN APPOINTMENT, WHEN AND WHERE THEY ARE SCHEDULED.

CHECK TO BE SURE PATIENT HASN’T ALREADY HAD THE PROCEDURE/TESTING AND WHEN LAST ONE WAS.

CHECK PHYSICAINS ORDERS TO MAKE SURE CODES ORDERED ARE CORRECT.

CHECKING PHYSICIAN NOTES TO MAKE SURE DOCUMENTATION IS CORRECT, WHY AND IF TEST NEEDED IS MENTIONED. IF NOT COMMUNICATE WITH PHYSICAN TO AMMEND NOTE.

START AUTHORIZATION REQUEST EITHER ON INSURANCE PORTAL (EVICORE, AIM, RADMD..ETC) OR OVER PHONE IF UNABLE TO DO ELECTRONICALLY.

BE FAMILIAR WITH PROCEDURE CODES AND DX CODESOF PROCEDURED BEING REQUESTED.

ANSWER ANY CLINCIAL QUESTIONS THAT THE PORTALS MAY ASK AND OR REPRESENATIVE DOING AUTH ON PHONE.

UPLOAD AND OR FAX DOCUMENTS TO INSURANCE PORTALS OR FAX TO INSURANCE WHEN ADDITIONAL CLINCIAL INFORMATION IS REQUESTED.

MAINTAIN FOLLOW UP ON PENDING CASES, CHECK PORTALS FOR STAUS AND OR CALL FOR STATUS.

WHEN AUTHORIZATION IS OBTAINED ENTER ALL INFORMATION IN SYSTEM.

DENIED AUTHORIZATIONS ARE REVIEWED, RESEARCH DENIAL REASONS TO MAKE SURE IT IS NOT SOMETHING THAT CAN BE FIXED, IF NOT DISCUSS WITH PHYSICIAN OR MA.

SCHEDULE PEER TO PEER’S, EACH PHYSICIAN IS DIFFERENT, COMMUNICATE WITH PHYSICAN OR MA TO SCHEDULE PEER TO PEER, CALL INSURANCE COMPANY CONFIRM AND SCHEDULE PEER TO PEER.

MAINTAIN COMMUNICATION WITH PHYSICAN OR MA ABOUT WHEN PEER TO PEERS ARE SCHEDULED AND MAKE SURE THEY HAVE THE PROPER PAPERWORK TO DO THE PEER TO PEER.

RESPONSIBLE FOR FOLLOWING UP WHEN PHYSICAN IS DONE WITH PEER TO PEER OBTAIN INFORMATION AND DOCUMENT IN SYSTEM, DENIED, APPROVED, NEXT STEP ETC.

RESPONSIBLE FOR IMMEDITELY CALLING AND OBTAINING STAT AUTHORIZATION ON ANY STATS ORDERED.

MAINTAIN COMMUNICATION WITH STAFF FROM IMAGING SITES IN REGARDS TO PATIENT APPOINTMENTS AND AUTHS.

RESPONSIBLE FOR ANY EMAILS SENT FROM IMAGING SITES REQESTING AUTHORIZATION FOR PATIENTS SCHEDULED. OBTAIN AUTHORIZATION, RESEARCH IF AUTH HAS BEEN OBTAINED, ETC.

MAINTAIN CONSTANT COMMUNICATION WITH NUCULER MED IN REGARDS TO PATIENTS APPOINTMENT AND AUTHORIZATIONS.

COMMINICATE WITH PATIENTS REGARDING THEIR INSURANCE IF ANY CHANGES OR QUESTIONS, COMMUNICATE WITH PATIENTS ABOUT THEIR SCHEDULED PROCEDURES AND AUTHORZATIONS IF NEEDED.

PROVIDE SUPPORT FOR ALL ABOVE DUTIES FOR THE ELKTON OFFICE.

• Clerical assignments for staffing
• On Base Batch Scanning
• Release of information Faxing
• Registration Procedure and Accuracy Compliance
• Scheduling Guidelines
• Clerical SuperUser
• Provide Template Changes
• Time off Request Reviews
• Reports from Administration
• Cash Collections Review and Submission
• Office Supply Ordering
• Use of EPIC Communication
• Mail Handling
• Workqueue Monitoring
• Previsit Chart Review
• Performance Management Audits
• Preceptor and Orientation of Clerical Team

• Accurate and timely scheduling and pre-registration of outpatient appointments
• Obtaining insurance
• Verify insurance is active and benefits
• Copay collections
• Bedside registration ( Emergency Room)

• Greet and triage patients
• Assist doctors with exams
• Keep inventory of pharmacy medications and medical supplies
• Schedule appointments
• Cross trained as a PSR assisted with checking in patients in for appointments
• Worked in ambulatory care clinics at nemours health as a medical assistant / patient service representative
• Allergy Clinic , Dermatology Clinic , Endocrinology Clinic, Ophthalmology Clinic ,
• Orthopedics Clinic , Otolaryngology Clinic , Pulmonology Clinic , Urology Clinic , Surgery
• Clinic (Transplant), Rheumatology Clinic .

• Answer telephone using AIDET
• Copay collections
• Obtain authorization for referrals
• Insurance Verification
• Handling faxes thru right fax labs, X-rays , newborn records , discharge summaries , mail sorting , batch scanning documents to EPIC