Order Processing Specialist

Job Description

Job Description

JOB SUMMARY

A nonexempt position responsible for performing a variety of duties including

but not limited to physician orders of patients to providers outside of the primary care office.

Must navigate, compromise, and negotiate successful tracking and coordination of outside

orders. The work includes responsibility for the preparation of specialized departmental

documents; significant interpersonal staff and public contact, appropriate and professional

conduct, and professional attire, independent judgment, discretion and personal initiative.

JOB SPECIFIC CORE COMPETENCIES

• Navigates and successfully tracks and coordinates outside orders.
• Communicates appropriately with practices.

PREREQUISITE SKILLS

patients and families.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

The following list describes the essential duties of this role. Individuals in this role may not

perform all of these duties, or may perform additional, related duties not listed here.

awareness and ensure patient safety. Maintain an accurate record of orders that are

kept, failed and current status. Ensure that referred reports are maintained within the

EMR.

insurance information.

referral guidelines, provide appropriate clinical information to referral office.

requirements are met. Present necessary medical information such as history, diagnosis

and prognosis. Provide specific medical information to financial services to maximize

reimbursement to the hospital and physicians.

financial or social barriers. Verify insurance information for referral purposes and

process insurance information for referral patients.

and / or referral providers in a timely manner. Calls must be accurately managed or

redirected as appropriate.

Competencies

Demonstrates the following competencies :

Attitude / Customer Competencies

being courteous, friendly, and helpful when responding to customers’ needs

prompt service

to make informed choices

Relationship Competencies / Work Group Competencies

Ethical Decision-Making

Performance Improvement

understanding of outcomes

CERTIFICATION / LICENSE :

ADDITIONAL LICENSURE / CREDENTIAL REQUIREMENTS :

accredited by the Commission on Accreditation of Allied Health Education Programs

(CAAHEP) or by the Accrediting Bureau of Health Education Schools (ABHES).

positions or positions that are non-clinical in nature and do not require direct patient care

as part of their job description.

ADDITIONAL EDUCATION AND EXPERIENCE REQUIREMENTS :

assistant and / or documented evidence of externship completed in a medical office.