Firelands Regional Medical Center-posted about 1 month ago
Full-time • Entry Level
Sandusky, OH
1,001-5,000 employees
Hospitals

Responsible for performing a variety of duties including but not limited to: coordinating from start to finish internal and external referrals for FPG providers to ensure good continuity of care; obtaining any necessary prior authorizations for visits or procedures related to referrals; training new employees on relevant portions of the referral process and navigating necessary insurance web sites; monitoring for accuracy of patient information, and monitoring for completion of the process; implementing special projects related to the referral and prior authorization process; verifying insurance coverage; obtaining pre-certifications or prior authorizations as needed. Assigned to administrative office but may need to assist in working at other practice sites

  • Development and maintenance of effective relationship with medical and administrative staff, patients and families, co-workers and the public.
  • Ability to communicate effectively in writing and verbally with medical and administrative staff, patients and families, co-workers and insurance companies.
  • Skill in preparation and presentation of reports to NCPC management as requested.
  • Ability to remain calm and poised in urgent situations.
  • Skill in exercising initiative, judgment, problem solving, and decision making.
  • Skill in analysis and interpretation of data, and preparation of reports.
  • Skill in time management and organization.
  • Ability to prioritize and meet deadlines to avoid crises management.
  • Knowledgeable in medical office procedures and medical terminology with computer and cash handling experience.
  • Knowledge of governmental regulations and compliance requirements.
  • Knowledge of computer systems and applications.
  • Ability to work in a safe and efficient manner and maintain an accident free work place, including ability to demonstrate a working knowledge of emergency codes.
  • Ability to comply with OSHA regulations and CDC standard and transmission based precaution recommendations and to utilize proper personal protective equipment.
  • Ability to comply with provisions of applicable S.D.S. forms.
  • Successful completion of a 90 day get-acquainted period.
  • High School graduate; vocational education or associates degree preferred; Clinical degree or medical ambulatory setting experience preferred.
  • Eligibility: All employees must be able to provide proof of their identity and their right to work in the United States. As a condition of employment, employee will have pre-employment tuberculin test, symptom survey, or chest x-ray. Employees can elect to have the Hepatitis vaccine or sign a waiver to decline due to prior vaccination.
  • Tuition reimbursement
  • Loan forgiveness
  • Comprehensive major medical, dental and vision insurance
  • Paid time off
  • 401(k)
  • Health and wellness offerings
  • Monthly employee events
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