Texas Health Care Privia Med

Administrative Assistant

• Respond to incoming calls from patients, healthcare providers, and other stakeholders efficiently and professionally.
• Schedule, reschedule, and cancel patient appointments using the clinics electronic health record (EHR) system.
• Address patient questions and concerns, providing information on services, procedures, and appointment details.
• Accurately document and relay messages to appropriate healthcare providers or departments.
• Assist in verifying patient insurance coverage and eligibility prior to appointments.
• Update and maintain patient records in the EHR, including demographics, insurance information, and contact details.
• Address patient complaints or issues promptly and escalate them to the appropriate personnel when necessary.

Healthcare Administrative Specialist

Insurance

• Insurance Authorizations and Surgery Precert
• Surgical Scheduling for outpatient & inpatient cases
• Medical Billing, coding, and payment posting
• Reviewing and disputing denied insurance claims with insurers
• DX Code Usage for accurate reimbursement
• Managing and disputing insurance shortfalls, denials, and incorrect claim processing
• Communicating with insurance representatives & clinical team regarding approvals & claim outcomes

Healthcare Administrative Specialist

Insurance Specialist – Surgery PreCert, Biller and Coder