Overview
You Matter Here!
Heywood Healthcare values our employees! We offer competitive wages great benefits and generous earned time off. Come work where you will matter!
Hours : Per Diem Weekdays
Job Summary :
Under the direction of the Senior / Practice Manager incumbent is responsible for scheduling surgeries (if applicable) and / or referral and prior authorization an Office Assistant II you willutilize administrative / clinical knowledge to schedule appropriate procedures / surgeries per providers orders. As an Office Assistant II you will act as aSurgical Schedulerto schedule office- based and hospital procedures consistent with the patients diagnosis and procedure request. Also must be able to respond to both written and oral correspondences regarding scheduling changes / cancellations in a timely accurate manner. Individual must be organized and be able to manage demanding workload with accuracy. See full description below. As an Office Assistant II you will act as a Referral / Prior Authorization Specialist to ensure referrals are scheduled in a timely manner maintains tracking and appropriate documentation of referrals and authorizations. See full description below.
Responsibilities
Organizational Expectations
Behavioral Attributes :
The following behavioral attributes are required : achievement motivation concern for order flexibility initiative self-confidence customer service oriented interpersonal effectiveness teamwork analytical thinking and information seeking.
Essential Functions
- Answers telephones schedules in office appointments takes messages accurately and routes appropriately
- Completes tasks associated with clinical inbox / practice buckets (personal practice referral medical record and others assigned) proficiently and in a timely manner
- Completes tasks associated with workflow dashboard (Appointments to be rescheduled appointment tickers no shows and others assigned) proficiently and in a timely manner
- Arrives patients verifies all required fields for most current up to date patient information. Has patient complete appropriate forms accurately documents information provided by patients in EMR and completes check-in.
- Departs patient from office provides any necessary patient information and schedules appointments in office and outpatient appointments as needed
- Collects copays / payments maintains records and reconciles daily deposits
- Verifies insurance coverage and eligibility and negates issues prior to patient visit whenever possible
- Performs a variety of clerical functions to support office such as typing filing scheduling appointments making phone calls and related duties as required or directed.
- Process incoming faxes and daily mail including barcoding and document processing within EMR.
- Schedules and coordinates patient visits and medical procedures for both inpatients and outpatients
- Registers patients utilizing computer-based registration / scheduling system
- Processes Medical Records incoming and outgoing according to practice guidelines and regulations
- Maintains assigned office and / or clinical supplies. Assures accurate inventory of supplies based on approved levels. Rotates stock as required. Initiates requisitions for re-supply or special items.
- Maintains records reports logs and other statistical information as required or directed.
SURGICAL SCHEDULER ROLE / RESPONSIBILITIES
Schedules office and hospital based medical procedures for patients with appropriate provider and time / location slot utilizing appropriate scheduling codes.Schedules diagnostic and imaging tests. Schedules office and hospital-based procedures tests and imaging ensuring available time is utilized to maximum efficiency.Interfaces with appropriate vendor staff to ensure all necessary equipment will be on site for office and hospital-based procedures.Interfaces with appropriate hospital staff to ensure a cohesive working relationship in providing patient care services.Enters notes / special instructions needed for scheduling in EMR.Effectively utilizes clinical knowledge when determining if appointment is consistent with the diagnosis / indications indicated by the provider.Completes accurate documentation of informed consent with patients for procedures and surgeries as needed.Provides accurate detailed information to patients regarding test preparations time of patients scheduled arrival and any other directional information needed; takes appropriate action in responding to questions from patients.Confirms patients insurance provider and obtains all necessary prior authorizations or referrals appropriately.Ensures patients have proper medical clearance and pre-surgical testing as needed.Completes pre-procedure phone calls and confirms appointment times with patients via telephoneDemonstrates use of quality improvement in daily operationsEnsures completion of assessment for advanced directive including DNR when applicableREFERRAL AND PRIOR AUTHORIZATION SPECIALIST
Schedules and coordinates patient referrals to ordered services expeditiouslyEstablishes a close working relationship with preferred providers to facilitate schedulingEnsures any necessary paperwork medical records and insurance referrals are processed and provided to specialty provider in advance of patientappointmentStays current with insurance referral and prior-authorization requirementsObtains necessary prior-authorizations for ordered procedures and diagnostic studies as requiredIssues patients managed care referrals as requiredHas working knowledge of our local network / preferred providers and works with practice providers and PHO to minimize leakageCloses the referral loop follow up on assigned open orders-results / consults pendingMaintains records reports logs and other statistical information as required or directedActs as office communications liaison for patients and healthcare providers for referrals and authorizationsAssists in appeals process as directedVerifies insurance coverage and eligibilityCompletes PT-1 forms as required for patient transportation to scheduled servicesCompletes tasks associated with clinical inbox / practice buckets (personal practice referral medical record and others assigned) proficiently and in a timely mannerThoughtfully communicates with patients regarding scheduled services accurately providing any necessary information such as date time prep pre-registration requirements advance of the appointmentRESPONSIBILITY OF ALL JOB ROLES
Actively participates in quality measure managementDemonstrates use of quality improvement in daily operationsPerforms all aspects of patient care in an environment that organizes patient safety and reduces the likelihood of medical / health care errors.Assists other members of the department as neededAttends variety of meetings conferences and seminars as required or directedComplies with established departmental policies procedures and objectivesComplies with all health and safety regulations and requirementsRespects diverse views and approaches and contributes in maintaining an environment of professionalism tolerance civility and acceptance toward all employees patients and visitors. Attends all H.E.A.R.T trainingsProvide coverage when needed at other locations within Heywood Medical Group.Completes all Annual Mandatory Education requirements.All other duties and locations as assigned.Statement of Other Duties
This document describes the major duties and responsibilities for this job and is not intended to be a complete list of all tasks and functions. It should be understood therefore that employees may be asked to perform job-related duties beyond those explicitly described.
Qualifications
Job Requirements
Minimum Education
High School diploma or equivalent requiredMinimum Work Experience
Three(3) year of experience in a medical office preferredRequired Skills
Excellent written and verbal communication skillsExcellent customer service skillsAbility to prioritize tasks in a busy environmentGeneral comfort level with computers / technology and ability to learn programs as needed.Knowledge of Electronic Medical Records preferred and word processing skills.Three (3) years of experience in a medical / surgical office preferred.Preferred knowledge of medical terminologyMust be able to work flexible shifts some evenings & weekends may be required.Reliable transportation in order to travel between locations is also requiredFunctional Demands
Physical Requirements
Exerts up to 20 pounds of force occasionally and / or up to 10 pounds of force frequently and / or a negligible amount of force constantly to move objects. Frequently reaches (extending hands and arms in any direction) and handles (seizing holding grasping turning or working with hands).
Key Skills
Typing,Microsoft Office,Data Entry,Customer Service,Computer Skills,Microsoft Outlook,QuickBooks,Office Experience,10 Key Calculator,Front Desk,Filing,Administrative Experience
Employment Type : Grant
Experience : years
Vacancy : 1