Physical Therapy Clinical Assistant - Southeast

Community Care Partners•San Antonio, TX

7d•Onsite

About The Position

The principle role of the Physical Therapy Clinical Assistant is to serve as a centralized receiving point for all incoming prescriptions for physical therapy treatment, to promptly obtain pre-authorization for this treatment, and to schedule initial physical therapy appointments. It is imperative that the individual assigned to this position demonstrate outstanding customer service, function with minimal supervision, and accurately and promptly perform all assigned tasks. The PTCA will be cross-trained as a Physical Therapy Receptionist/Aide (PTR-A) and will work in that capacity when deemed necessary. The PTCA will also serve as the Lead PTA/R when assigned.

Requirements

High school diploma or GED
Graduate from an accredited vocational training program relevant to this position (i.e. Medical Office Specialist, Medical Administrative Assistant, and/or Associates Degree in Medical Administration) or minimum of 1 year experience relevant to the position
Strong data entry skills
Working knowledge of Window-based programs, Excel, NextGen, Whiteboard, and VHI
Must maintain current First Aid/CPR Certification
Must demonstrate proficiency in all PTR-A duties

Nice To Haves

Bilingual (English and Spanish) preferred

Responsibilities

Receive physical therapy prescriptions from all TMC clinics and outside physicians
Determine insurance status of employer (subscriber, subscriber/ private pay, or non-subscriber) for all work related injuries
Confirm managed care insurance coverage and verify PSR acceptance of this coverage
Promptly schedule patients to minimize unnecessary delays in treatment and comply with established guidance
If pre-authorization not required immediately contact patient and schedule initial appointment
When pre-authorization is required contact employer or insurance company, forward all necessary documents and information and promptly obtain authorization for the treatment ordered
Document all communication with patient, insurance company and employer with the EMR
In those cases that require pre-authorization contact the patient, verify their phone numbers and briefly explain the authorization process and expected time required
Document all actions and communications on the administrative form
Upon receipt of the treatment authorization immediately contact patient, determine the preferred PT clinic and using the available computer software schedule the initial appointment
Fax administrative form and clinical documents to the PT clinic where initial appointment is scheduled ensuring the arrival of these documents prior to the initial scheduled appointment
Distribute originals of all documents to the PT clinic where the initial appointment is scheduled
In those situations where prescriptions are received for treatment beyond the initial period repeat the above process, obtain authorization for additional treatments and provide the appropriate clinic the necessary documents
Maintain adequate documentation on all patients so that the status of each treatment authorization is immediately available
Keep patient informed of the status of the authorization process and any unforeseeable delays
Obtain treatment authorization and schedule the patient in a manner that minimizes the delay between the date of the physician’s prescription and the therapist’s initial evaluation
Provide status reports to physicians, therapists and clinics
Log in and out of computer and turn on/off all area equipment
Keep work area clean and tidy
Attend staff meeting and continuing education training in-services
Reads and abides by clinic and company policy and procedure guides and demonstrates awareness of new policies and procedures
Assist the Director with assigned projects, adhering to deadlines and following timelines as required
Produce monthly reports to include Physician Referrals, Delay, Productivity and No-Show
Coordinate department functions; reserving meeting space: inviting attendees; coordinating food and refreshments
Assist staff members in resolving treatment authorization, payment or reimbursement concerns
Maintain current forms in Originals Directory
Make and receive phone calls efficiently and dispatch messages promptly and accurately
Operate copier, fax and other equipment efficiently
Any other duties as assigned