Insurance Verification/Ancillary Scheduler Float- Orthopedic Associates of Meadville- FULL TIME - DAYSHIFT

Meadville Medical Center•Meadville, PA

11d•Onsite

About The Position

This full-time, day shift position involves communicating with patients, OAM staff, outside physician offices, insurance companies, and hospital personnel to verify patient insurance, obtain referrals/authorizations, and coordinate ancillary test scheduling. The role requires excellent communication and organizational skills, the ability to work independently and as part of a team, and to maintain a positive and professional demeanor.

Requirements

High School Diploma
Excellent communication skills.
Strong organizational skills.
Verbal and written skills necessary to communicate clearly and professionally with coworkers, patients, insurance companies and physician office personnel.
Project and maintain a positive image in telephone interactions with patients, insurance companies, other health care providers and coworkers and maintain an appearance of composure under stressful situations.
Basic computer, calculator, fax, copier skills.
Ability to work as a team member of various work groups and multi-disciplinary problem-solving teams.
Ability to hear and communicate via telephone with patients and staff.
Ability to exercise good judgment, work independently without close supervision and respond to concerns of others with tact.
Ability to organize and prioritize duties, shifting suddenly to new tasks as priorities change, adjusting work schedule to reflect changing situations and requirements.
Ability to concentrate in a busy work area.
Observe and comply with OAM Core Values.
Provide professional and friendly atmosphere.
Provide excellent customer service.
Introduce self when greeting patients and visitors in person or via telephone.
Follow appropriate chain of command for reporting issues such as grievances, patient complaints and staffing issues.
Use time effectively.
Treat all people fairly regardless of age, race, sex, disability, religion, etc.

Nice To Haves

Physician office experience preferred

Responsibilities

Complete accurate and timely insurance eligibility verifications.
Obtain necessary verification of insurance and other eligibility programs.
Confirm referrals as needed prior to patient visit.
Process In-Network and Out of Network referrals.
Contact patients and physicians’ offices as needed to verify data or obtain information.
Answer any questions that Front Office staff have in a timely manner.
Communicate effectively with patients and outside entities to coordinate and schedule ancillary testing.
Schedule patient follow-up appointments accurately following clinical direction.
Obtain all appropriate insurance company authorizations for surgeries and ancillary testing.
Return patient messages in a timely manner.
Obtain current and accurate demographic patient information.
Review workload messages in Meditech.
Observe and comply with all OAM personnel policies and procedures.
Communicate and interact effectively with patients and families, physicians, peers and other team members to maximize successful patient outcomes.
Maintain the confidentiality of patient and staff related information.
Follow compliance and safety requirements.
Other duties as assigned.