What are the responsibilities and job description for the PRE-CERTIFICATION SPECIALIST position at Central Indiana Orthopedics?
The Pre-Certification Specialist will schedule ordered procedures for patients and post procedural appointments. This individual will ensure patients are scheduled and educated on procedure requirements, and complete prior authorizations of ancillary testing.
Travel: No
Type: Full-Time
Schedule: Hours will be during M-F (8am - 5pm)
Responsibilities:
- Coordinates with internal and external providers in arranging testing for ordered procedures/tests.
- Works with patient to identify available times to schedule procedures, answers questions related to the required testing, and ensures correct insurance information is on file for patient.
- Completes prior authorizations of ancillary testing.
- Maintains, updates, and reviews patient records, charts, and other pertinent information ensuring accurate and timely information is available in the patient record.
- Responds to and refers incoming phone calls as needed. Educates and instructs patient and family regarding medications, treatment instructions, and pre- and post-procedure protocols.
- Manages/optimizes MRI schedule.
- Assist in screening patients for MRIs.
- Places a high priority on and maintains strict confidentiality in all situations.
- Participates in professional development activities and maintains applicable professional affiliations and certifications as required.
- Attends and participates in required organizational meetings and committees as requested.
- Perform additional related duties as assigned.
Education Requirements:
Minimum of high school diploma or GED required. An Associate’s degree in medical assisting, medical office assisting or related field preferred. At least one year administrative support experience in a clinical environment required. Experience with scheduling preferred.
Working Conditions:
Standard work environment is an office setting. Work requires sitting for long periods of time. Position requires viewing and typing on a computer for long periods. Occasionally bending, lifting, and reaching required dealing with files, paper, supplies, etc., including lifting up to 25 pounds. Requires manual dexterity sufficient to operate standard office equipment (computer, telephone, copier, etc.) regularly. Vision must be correctable to 20/20. Hearing must be in the normal range for telephone contacts and to interact directly with patients. Regularly interacts with staff, physicians, insurance companies, and the public. Work may be stressful at times.
Experience
Required- At least one year administrative support experience in a clinical environment required.
- Experience with scheduling preferred.
Education
Required- High School or better
- Associates or better
