Patient Services Specialist- Atrium Health CMC Orthopedic Myers Park FT Days
About The Position
Department: 38789 Carolinas Medical Center - Clinic: Orthopedic: Myers Park Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: M-F 8-5pm Pay Range $21.85 - $32.80 Major Responsibilities: Schedules surgeries for patients and physicians. This includes but is not limited to, calling, faxing, contacting facilities, providing necessary scheduling information, ensuring special equipment, coordinating and confirming schedules. Assures all necessary requirements for surgery are met, including patient's history, physical, and ancillary testing results to assure timely completion prior to procedure. Forwards to facility and/or physician as indicated. Provides general information and education regarding pre and post-operative care with patient and/or family members. Assesses when further education is needed and refers back to the nurse as indicated. Redirects patients back to specialists/providers and facilities where appropriate. Screens referrals and pre-certification requests for completeness, coverage, network affiliation and medical appropriateness. Collaborates with the manager and/or insurance company to review referrals and/or pre-certification, policies, practice guidelines, denials, patient noncompliance, medical necessity, physician issues and other managed care issues as needed. Directs surgeries to appropriate facility to allow for maximum reimbursement. Coordinates insurance issues with pre-registration and/or credit department when appropriate. Acts as a liaison with physicians, patients, patient care staff, families, vendors/providers and insurers regarding referrals and preauthorizations.
Requirements
- High School Graduate.
- Typically requires 1 year of experience in scheduling.
- Ability to provide good customer service and multi-task on a regular basis.
- Knowledge of insurance coverage.
- Strong verbal, interpersonal, and written communication skills.
- Ability to pay close attention to detail in a fast-paced environment.
- Must have knowledge on how to navigate on the Internet.
- Proficient computer and keyboarding skills.
- Strong ability to prioritize work flow.
Responsibilities
- Schedules surgeries for patients and physicians.
- Assures all necessary requirements for surgery are met, including patient's history, physical, and ancillary testing results to assure timely completion prior to procedure.
- Provides general information and education regarding pre and post-operative care with patient and/or family members.
- Screens referrals and pre-certification requests for completeness, coverage, network affiliation and medical appropriateness.
- Collaborates with the manager and/or insurance company to review referrals and/or pre-certification, policies, practice guidelines, denials, patient noncompliance, medical necessity, physician issues and other managed care issues as needed.
- Directs surgeries to appropriate facility to allow for maximum reimbursement.
- Coordinates insurance issues with pre-registration and/or credit department when appropriate.
- Acts as a liaison with physicians, patients, patient care staff, families, vendors/providers and insurers regarding referrals and preauthorizations.
Benefits
- Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:
- Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance
- Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program
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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
11-50 employees
