Part Time Insurance Utilization Review Jobs in Philadelphia, PA

Regular-Part Time (20-29 hrs./week) 

With 150+ locations in 17 states, QualDerm Partners is the largest multi-state female-founded and owned dermatology network in the U.S. At QualDerm we are united in our purpose: to educate, protect, and care for your skin. We are committed to bringing you the very best in comprehensive skin care so that you can achieve a confident, healthier, and more beautiful you! 

Our mission is to educate communities and healthcare professionals about the importance of skin health; including skin cancer prevention, risk factors and how to achieve healthy skin through annual skin exams and dermatologic care.

We strive to provide the latest proven, proactive and comprehensive dermatologic care to populations in the expanding geographies we serve by making high-quality skin care timelier and more accessible all while creating a rewarding work environment for our providers and employees. Not only do we offer aggressive compensation and benefit packages, but we offer a culture that is unsurpassed!

Job Summary:

The Front Office Receptionist will be responsible for accurate and timely patient registration utilizing medical systems. This individual will utilize facility medical necessity tool to verify appropriate patient insurance coverage. This work will need to be performed according to established policies and procedures. The associate will provide exceptional customer service to physicians, patients, family members and all other medical professionals.

Essential Duties and Responsibilities:

• Welcomes patients and visitors by greeting them in person or on the telephone, answering or referring inquiries.
• Notes patient arrival in Practice Management System (EMR).
• Identifies patients by date of birth and name in computer system and creates new account if patient is not in the system.
• Prepares necessary patient paperwork prior to patient's appointment.
• Calls "No Show" appointments to reschedule, makes appropriate notations in Practice Management System and sends letters to patients when necessary.
• Optimizes patient satisfaction, provider time, and treatment room utilization by scheduling appointments in person or by telephone and comforts patients by anticipating their anxieties and answering their questions.
• Helps in emergency situations by quickly responding to patients in distress by using good reasoning and judgment.
• Reviews Practice Management System (EMR) for information that needs to be updated. Works with patients to obtain updated information and accurately enters information in Practice Management System (EMR).
• Identifies payer sources, verifies insurance eligibility, financial status and assigns correct payor type. Verifies if prior authorization from insurance is required; notifies Billing Department, if required.
• Responsible for keeping the reception area clean and organized.
• Obtains revenue by recording and updating financial information, recording and collecting patient copays and/or balances at check in/out.
• Protects patients' rights by maintaining confidentiality of personal and financial information.
• Maintains operations by following policies and procedures, and reports changes as needed.
• Contributes to team effort by accomplishing related results, as needed.
• Routinely demonstrates superior customer service skills.
• Answers the telephone in a timely and polite manner.
• Communicates with patients, visitors, providers, and team members in a courteous, professional, cooperative and mature manner.
• May participate in supporting the clinic's social media presence, including gathering content, sharing clinic-approved updates, and assisting with community engagement efforts as directed

Requirements

• High School Diploma required; Associates Degree preferred
• 1 year customer service experience in health care office preferred

Benefits

Benefits of joining Qualderm Partners:

• Competitive Pay - Attractive compensation to reward your hard work
• Generous 401(k) Plan - Company matches 100% of the first 3%, plus 50% of the next 2%, with immediate vesting
• Paid Time Off (PTO) - Accrue PTO from day one, plus enjoy 6 paid holidays and 2 floating holidays each year

QualDerm Partners is proud to be an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Applicants must be currently authorized to work in the United States in a full-time basis.