Req #: 0000212061
Category: Billing/Collections/Registration
Status: Full-Time
Shift: Day
Department: UPA-DCMC Otolaryngology
Pay Range: $20.18 - $25.34 per hour

QUALIFICATIONS:

Required:

• Bachelor’s Degree in a healthcare-related field such as: Nursing, Surgical Technology, Athletic Training, Health Informatics, or a related field
• Equivalent education, experience, and/or training may be substituted for the degree requirements
• Must have significant knowledge of computer applications including Microsoft Word, Excel, practice management software, PowerPoint, as well as a web-based software
• Ability to perform multiple and diverse tasks simultaneously
• Ability to prioritize work flow in a fast-paced environment

Preferred:

• One (1) year of experience working in a physician group practice is preferred.

SCHEDULING REQUIREMENTS:

• Shift Working: Monday – Friday
• Day Shift
• Full-Time, 35 Hours Per Week

ESSENTIAL FUNCTIONS:

• Understand the process for precertification/preauthorization from insurance companies for imaging and procedures. Understand basic principle of insurance coverage. Obtain insurance information, demographic information and authorizations as needed
• Coordinate appointments with the patient for their imaging and/or audiology
• Works with providers to schedule testing/blood work. Forwards test results to appropriate providers on time. Faxes to appropriate providers
• Serves as liaison between the patient and the provider to assist with prescription refill requests and other items that may be needed
• Processes medical record requests in a timely fashion
• Coordinates operative schedule of supporting physicians and ensures that clinical and business paperwork before surgery is complete so patients are clinically and financially prepared for surgery
• Completes all SSI disability forms, and Letters of Medical Necessity for insurance information, as well as, explain benefits to patients preparing for surgery
• Coordinates the scheduling of all vendors and specialists for operative cases
• Understand the process for precertification/preauthorization from insurance companies for surgery. Understand the basic principle of insurance coverage. Obtain insurance information and demographic information as needed
• Confirms pre-operative instructions with patients as directed
• Assists with coordination of operative and post-operative schedules for patients and providers
• Confirms pre-operative instructions with patients as directed by physicians.
• Responds to written and telephone inquiries from patients, physician offices, insurance companies. Informs other staff of pertinent information
• Responds professionally and pleasantly to telephone messages. Obtains adequate/accurate information and delegate information appropriately
• Maintains communication with physicians, mid-level providers, patients, hospitals, insurance companies
• Maintains patient confidentiality complies with HIPPA guidelines as established by the practice
• Keeps abreast of all pertinent federal, state, regulations, laws, and policies as they presently exist and as they change or are modified
• Performs other related duties as assigned

OTHER DUTIES:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.