Senior Secretary

Position Summary

The Senior Secretary is directly responsible for the successful completion of obtaining Pre-certification and Pre-authorization numbers to ensure carrier reimbursement for services rendered.

The Pre-certification Representative is responsible for communicating with practice managers, clinicians, staff, outside departments and patients to ensure accurate Information is disseminated.

Responsibilities

• Establishes communication with the Insurance carriers via telephone or Internet to obtain Pre-certification or Pre-authorization numbers for services requiring such authorization Services can be internal or external to neurology.
• Provides insurance carriers with requested Information needed to obtain Pre-certification or Pre-authorization numbers.
• Documents comments and Pre-certification or Pre-authorization numbers into the IDX Web Scheduling System and / or requisition forms.

Scans requisitions into the CROWN system and inform patient of the pre-authorization approval.

• Establishes communication with divisional staff regarding the status of Pre-certification or Pre-authorization attempts via e-mail and / or telephone.
• Advises supervisor / manager of problems and potential problems within 24 hours for routine authorization and immediately for authorizations on same day services.

Essential Duties / Responsibilities :

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and / or ability required.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Additionally, you must provide high quality customer service by :
• Listening to patients' and referring providers' requests for exams, times and locations. Asking the appropriate questions to get Information needed to schedule exams
• Relaying exam specific patient preparatory Information as appropriate. Completing phone call with a professional closing.

Process / Workflow

• Under the direction of the Manager you will : Determine when an authorization / referral is required
• Obtain any information necessary in order to assist with the authorization process
• Pre and / or Post authorize all exams that require authorization
• Understand the principles of billing in order to communicate appropriate codes and forms required to ensure proper reimbursement.

Reviews next days assigned schedule to :

• Demonstrates appropriate verbal and written communication skills to relay accurate information In a dear, concise manner to peers, staff, management, patients, guests and medical staff.
• Initiates appropriate questions and provides timely feedback to lead and management on any issues, policies and procedures, etc.
• Organizes and maintains records to provide accurate reporting, easy access to Information and historical data.
• Coordinates patient care between technologists and clerical staff to facilitate a smooth workflow
• Acts as a liaison between staff, management and physicians. Performs other duties as assigned.

Minimum Qualifications

Requires two (2) years of college or completion of secretarial school or equivalent business experience, plus a minimum of two to three years (2-3) related experience.