Clinical Order Management Specialist

Current Opportunities at Sound Physicians • Dallas, TX

2d • Onsite

About The Position

The Clinical Order Management Specialist is responsible for performing all tasks and communication related to the intake and processing of prescriptions and/or physician orders, as well as patient information concerning durable medical equipment. This role regularly communicates with patients, health care providers, Team Members, Health Insurance (payor) representatives, and referral sources. The Clinical Order Management Specialist coordinates with DME vendors, physicians, and applicable internal/external personnel regarding medical records and information needed to process orders that are placed by physicians. This role confirms that medical records meet medical necessity based on applicable insurance guidelines and promptly follows up on patient referrals, physician prescriptions, and/or physician work orders.

Requirements

• Medical Assistant Certification
• Knowledge of medical terminology
• High School Diploma
• 2-3 years as a certified medical assistant within a clinic or hospital setting
• Extensive organizational and task management experience
• Electronic Medical Records experience
• Work Ethic: Dedication to getting the job done well and on time, regardless of circumstances, a can-do attitude
• Communication: The ability to speak, write, and listen clearly and consistently
• Teamwork: Demonstrates the ability to pull people together into highly effective teams along with ability to work in a highly matrixed organization
• Critical Thinking: Demonstrates the ability to be proactive, anticipate needs; ability to make good decisions with incomplete, ambiguous information
• Adaptability: Demonstrates flexibility and a willingness to change as circumstances evolve and be coachable
• Resourceful: Proactive willingness to utilize available information and tools to figure things out, not afraid to ask questions when necessary
• Self-Motivated: Proactively jumps in to start a task or project with limited direction; asks to take on more responsibility and what is next
• Collaborative: Demonstrates the ability to work well with others to accomplish a goal and get the work done; takes opinions of others into consideration; includes others in the decision-making process

Nice To Haves

• Expert on insurance coverage with all vendors

Responsibilities

• Assisting with appeals for Prior Authorization denials
• Placing orders for Durable Medical Equipment, Diagnostic Imaging and Specialty Drugs
• Reviewing “Delivery Tickets” to confirm they were completed accurately and signed
• Performing data entry to supplement orders including patient demographics, prescribing physician’s information, insurance payor information, HCPCS procedure codes, ICD-10 diagnosis codes, etc.
• Regularly contacting and communicating with Team Members, insurance companies, vendors, sales representatives, doctor’s offices, practitioners, clearinghouses, billers, and other applicable companies and associates, sending updates on prior authorizations, claims, patient benefits, orders, and other information as appropriate
• Answering incoming phone calls to office and route messages accordingly
• Performing detailed notetaking with high accuracy on pertinent information
• Utilizing Adobe Acrobat Pro to create and edit PDF files: insert/move/delete pages; edit/add/redact text; save meta data, create templates, export/import data through plugin, etc.
• Consistently following up with patients to confirm patient satisfaction
• Accurately completing forms/applications and sending out to applicable destination
• Exercising patience and empathy when communicating with patients and customers
• Being aware of and adapting to changes in medical regulations and processes

Benefits

• Medical insurance
• Dental insurance
• Vision insurance
• Health care and dependent care flexible spending account
• 401(k) retirement savings plan with a company match
• Paid time off (PTO) begins accruing immediately upon start date at a rate of 15 days per year, in accordance with Sound's PTO policy
• Ten company-paid holidays per year

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED