Office Assistant II, Heywood Medical Group, Summit Family Medicine, 40 Hours, Days/Evenings, No Weekends
Overview:
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Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter!
Hours: 40 Hours, Days/Evenings, No Weekends
Job Summary
Under the direction of the Senior/Practice Manager incumbent is responsible for scheduling surgeries (if applicable) and/or referral and prior authorization processing. As an Office Assistant II, you will utilize administrative/clinical knowledge to schedule appropriate procedures/surgeries per provider’s orders.As an Office Assistant II you will act as a Surgical Scheduler to schedule office- based and hospital procedures consistent with the patient’s diagnosis and procedure request. Also, must be able to respond to both written and oral correspondences regarding scheduling changes/cancellations in a timely, accurate manner.
Individual must be organized, and be able to manage demanding workload with accuracy. See full description below. As an Office Assistant II you will act as a Referral/Prior Authorization Specialist to ensure referrals are scheduled in a timely manner, maintains tracking and appropriate documentation of referrals and authorizations.
See full description below.
Responsibilities:
Organizational Expectations
Behavioral Attributes:
The following behavioral attributes are required: achievement motivation, concern for order, flexibility, initiative, self-confidence, customer service oriented, interpersonal effectiveness, teamwork, analytical thinking and information seeking.
Essential Functions- Answers telephones, schedules in office appointments, takes messages accurately and routes appropriately
- Completes tasks associated with clinical inbox/ practice buckets (personal, practice referral, medical record and others assigned) proficiently and in a timely manner
- Completes tasks associated with workflow dashboard (Appointments to be rescheduled, appointment tickers, no shows and others assigned) proficiently and in a timely manner
- Arrives patients, verifies all required fields for most current, up to date patient information. Has patient complete appropriate forms, accurately documents information provided by patients in EMR and completes check-in.
- Departs patient from office, provides any necessary patient information and schedules appointments in office and outpatient appointments as needed
- Collects copays/payments, maintains records and reconciles daily deposits
- Verifies insurance coverage and eligibility and negates issues prior to patient visit whenever possible
- Performs a variety of clerical functions to support office such as typing, filing, scheduling appointments, making phone calls and related duties as required or directed.
- Process incoming faxes and daily mail including barcoding and document processing within EMR.
- Schedules and coordinates patient visits and medical procedures, for both inpatients and outpatients
- Registers patients utilizing computer-based registration/scheduling system
- Processes Medical Records incoming and outgoing according to practice guidelines and regulations
- Maintains assigned office and/or clinical supplies. Assures accurate inventory of supplies based on approved levels. Rotates stock as required. Initiates requisitions for re-supply or special items.
- Maintains records, reports, logs and other statistical information as required or directed.
- Schedules office and hospital based medical procedures, for patients with appropriate provider and time/location slot, utilizing appropriate scheduling codes.
- Schedules diagnostic and imaging tests. Schedules office and hospital-based procedures, tests and imaging ensuring available time is utilized to maximum efficiency.
- Interfaces with appropriate vendor staff to ensure all necessary equipment will be on site for office and hospital-based procedures.
- Interfaces with appropriate hospital staff to ensure a cohesive working relationship in providing patient care services.
- Enters notes/special instructions needed for scheduling in EMR.
- Effectively utilizes clinical knowledge when determining if appointment is consistent with the diagnosis/indications indicated by the provider.
- Completes accurate documentation of informed consent with patients for procedures and surgeries as needed.
- Provides accurate, detailed information to patients regarding test preparations, time of patients scheduled arrival, and any other directional information needed; takes appropriate action in responding to questions from patients.
- Confirms patient’s insurance provider and obtains all necessary prior authorizations or referrals appropriately.
- Ensures patients have proper medical clearance and pre-surgical testing as needed.
- Completes pre-procedure phone calls and confirms appointment times with patients via telephone
- Demonstrates use of quality improvement in daily operations
- Ensures completion of assessment for advanced directive, including DNR when applicable
- Schedules and coordinates patient referrals to ordered services expeditiously
- Establishes a close working relationship with preferred providers to facilitate scheduling
- Ensures any necessary paperwork, medical records and insurance referrals are processed and provided to specialty provider in advance of patient appointment
- Stays current with insurance referral and prior-authorization requirements
- Obtains necessary prior-authorizations for ordered procedures and diagnostic studies as required
- Issues patients managed care referrals as required
- Has working knowledge of our local network/preferred providers and works with practice providers and PHO to minimize leakage
- Closes the referral loop follow up on assigned open orders-results/consults pending
- Maintains records, reports, logs and other statistical information as required or directed
- Acts as office communications liaison for patients and healthcare providers for referrals and authorizations
- Assists in appeals process as directed
- Verifies insurance coverage and eligibility
- Completes PT-1 forms as required for patient transportation to scheduled services
- Completes tasks associated with clinical inbox/practice buckets (personal, practice referral, medical record and others assigned) proficiently and in a timely manner
- Thoughtfully communicates with patients regarding scheduled services, accurately providing any necessary information such as date, time, prep, pre-registration requirements, etc. in advance of the appointment
- Actively participates in quality measure management
- Demonstrates use of quality improvement in daily operations
- Performs all aspects of patient care in an environment that organizes patient safety and reduces the likelihood of medical/health care errors.
- Assists other members of the department as needed
- Attends variety of meetings, conferences, and seminars as required or directed
- Complies with established departmental policies, procedures, and objectives
- Complies with all health and safety regulations and requirements
- Respects diverse views and approaches, and contributes in maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors. Attends all H.E.A.R.T trainings
- Provide coverage when needed at other locations within Heywood Medical Group.
- Completes all Annual Mandatory Education requirements.
- All other duties and locations as assigned.
Statement of Other Duties
This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described.
Qualifications:
Job Requirements
Minimum Education- High School diploma or equivalent required
- Three (3) year of experience in a medical office preferred
- Excellent written and verbal communication skills
- Excellent customer service skills
- Ability to prioritize tasks in a busy environment
- General comfort level with computers/technology and ability to learn programs as needed.
- Knowledge of Electronic Medical Records preferred and word processing skills.
- Three (3) years of experience in a medical/surgical office preferred.
- Preferred knowledge of medical terminology
- Must be able to work flexible shifts, some evenings & weekends may be required.
- Reliable transportation in order to travel between locations is also required
Functional Demands
Physical Requirements
Exerts up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. Frequently reaches (extending hands and arms in any direction), and handles (seizing, holding, grasping, turning, or working with hands).