Administrative Assistant/Breast Care Center
About The Position
When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. POSITION SUMMARY: Under the direction of the manager or director provides administrative support to the hospital-affiliated clinics. Verifies insurance eligibility, benefits, referral, and authorization requirements for the Clinics. Ensures all exams requiring a Prior Authorization and/or Referral are coordinated through the appropriate insurance provider or intermediary, and documents in electronic medical record. Requires knowledge of CPT codes and ICD-10 codes. Provides administrative support for physicians and other clinicians by answering and screening telephone calls, and taking accurate messages. Schedules patient appointments and procedures, coordinating and communicating with other hospital staff as needed. Prepares correspondence, manuscripts and documents that may require complex formatting. Checks in patients in the electronic health record (EHR) as needed. Manages physician billing as needed. The highest regard for patient confidentiality is an expectation at all times. Acts in a professional manner and puts patient needs first.
Requirements
- High School diploma or GED required.
- 0-1 years related work experience required.
- Ability to work independently with minimal supervision.
- Exhibits excellent customer service.
- Experience with computer systems required, including web based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint or Access.
Nice To Haves
- Minimum of 3 years to 5 years in a hospital financial setting, or clinical setting.
- Understanding of hospital collections a plus.
- Needs sufficient understanding of breast imaging scheduling protocols and understanding the breast imaging schedule template blocks (specific to Breast Clinic only).
Responsibilities
- Secures all required prior authorizations and documents in OMR.
- Makes follow up calls to prior authorization agents as needed to ensure timely turnaround of prior authorization documentation.
- Completes forms including disability, back to work and FMLA for patients.
- Responsible for interviewing patients or their representative, obtaining personal information or verifying information already on file, including emergency numbers, next of kin, employer and insurance information.
- Secures all referrals for outpatient clinic visits and documents in OMR, may include medical clearance, physical therapy, etc.
- Prepare all medical records, as requested from attorneys and set up all peer to peer reviews for Physicians, as needed.
- Secures approval for surgery and ensures medical clearance prior to surgery.
- Schedules patient surgeries, including worker's compensation surgeries, coordinating and communicating with other hospital staff as needed.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
