PATIENT CARE SPECIALIST

Sun Life Health•Casa Grande, AZ

10d•Onsite

About The Position

The patient care specialist facilitates all aspects of patient activities as a collaborative effort across the heath care continuum. The patient care specialist will ensure that our patients receive the appropriate in-house testing and follow up as recommended by the Center for Women providers. This patient-centered approach will allow for a centralized approach to meeting our patients’ needs.

Requirements

High School Diploma or equivalency preferred
Experience as a receptionist in a health care setting preferred

Responsibilities

Obtain authorization for in-office testing (i.e. ultrasounds and non-stress tests) by contacting the appropriate insurance carrier, communicating the provider's instructions, and transmitting information as needed to obtain authorization
Communicate with and schedule patient once authorization is received for in-office testing
Clearly document patient services as related to insurance approvals and patient communications in appropriate location in Sun Life’s EHR
Track pending authorizations and patients that have yet to be scheduled as to ensure all tasks are completed for each patient in a timely manner
Facilitate rescheduling of testing as needed by patients
Review, contact, and reschedule “no shows” for testing with appropriate documentation
Enter orders so the testing reports can be reviewed by the provider efficiently
Maintain a cooperative relationship among health care teams by compiling statistics, communicating information, responding to requests, building rapport and participating in problem-solving methods
Refer patient to Outreach department if eligibility for sliding fee is identified or if a change in payor source is identified to align resources with patient and population needs
Run reports monthly to confirm patient appointments
Make use of eCW registry reporting to track all high-risk patients to maintain quality and reduce gaps in care
Manage MFM Referrals
Place ultrasound orders
Attach ultrasound reports to patient’s chart eCW.
Any other tasks designated by supervisor