POSITION SUMMARY: Responsible for making and scheduling patient spine injection appointments in a timely and efficient manner.
ESSENTIAL RESPONSIBILITIES: Act as liaison between the patients, providers, Medical Assistants, and surgery center involving ordered Spine Injection procedures.Review all ordered procedures in CPS while working with the Pre-certification team to ensure codes are accurate, correct, and billable.Schedules, coordinates, and reschedules new and existing Spinal procedure appointments while following policies and protocols.When needed, ensure medical clearances are discussed with the patient, once obtained document in the patient's charts.Provide injection instructions to patient prior to the procedure, including additional information regarding medication warnings.Flag MA/Provider regarding questions on injections needed to be scheduled.Answers telephone, flags, and team messages, screen calls, takes messages, and send messages when necessary.Assist with completing pain logs for additional procedure authorizations when required.Updates patient records when necessary.Verify insurances and obtains authorization and follow up on authorization as needed. Reverify that all authorizations are current and updated prior to patient's injections.Adheres to company policies as described in employment handbook and company work rulesParticipates in professional development activities and opportunities.Maintains confidentiality of patient account information in accordance with HIPAA guidelines and NMOA policy.Attends staff meeting and others as required.Regular and reliable attendancePerforms any other duties as assigned SUPERVISORY RESPONSIBILITIES: N/A KNOWLEDGE, SKILLS AND ABILITIES: To perform this job successfully, an individual must be able to perform each essential responsibility satisfactorily. The requirements listed below are representative of the knowledge, skills and/or abilities required.
Exceptional customer service skills.Knowledge of current basic medical terminology, coding, eligibility and prior authorization knowledge and office procedures.Strong computer and phone skills, including multi-line phones.Ability to establish and maintain effecting working relationships with staff, co-workers, patients and vendors.Ability to effectively communicate with multiple departments to facilitate a seamless process for the patient.Ability to add, subtract, multiply and divide in all units of measure, using whole numbers, common fractions, decimals and percentages.Ability to understand, read, write and speak English. Ability to understand and speak Spanish preferred.Ability to read, analyze and interpret medical information, technical procedures and/or general business information.Ability to recognize and define problems, collect data, establish facts, draw conclusions and correct errors.Ability to interpret a variety of instructions in a variety of forms and deal with abstract and concrete variables.Ability to handle multiple simultaneous tasks effectively and efficiently while maintaining a professional, courteous manner.Exhibit understanding of healthcare regulatory and compliance policy (e.g., HIPAA).Knowledge of New Mexico Orthopaedics policies and procedures to include Business Office Standards and Recommended Practices.Requires ability to identify and implement opportunities to improve performance of the department.High integrity, including maintenance of confidential information.Exhibit patience in high stress situations and handle confrontations with poise and efficiency.Ability to work a flexible schedule, including some evenings and weekends.May be assigned to or transferred to any clinic location, depending upon business needEDUCATION AND/OR EXPERIENCE: High School Diploma or GED and two years of relevant experience. Medical Assistant or Pre-verification and medical scheduling experience in a medical office setting preferred.
CERTIFICATIONS, LICENSES, REGISTRATIONS: None required
PHYSICAL DEMANDS AND WORK ENVIRONMENT: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job responsibilities.
While performing the duties of this job, the employee is occasionally required to stand; walk; sit for extended periods of time; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, bend, crouch or crawl; talk or hear; or smell. The employee must occasionally lift and/or move up to 20 pounds. Repetitive motion of upper body required for extended use of computer. Requires vision correctable to 20/20 and hearing in the normal range for face-to-face and telephone contacts.
Works in well-lit, ventilated and climate controlled office environment with routine office equipment; some equipment has moving mechanical parts.
Noise level in the work environment is usually moderate.
