Insurance Verification/Ancillary Scheduler Float- Orthopedic Associates of Meadville- FULL TIME - DAYSHIFT

Education and Training:

• High School Diploma

Experience:

• Physician office experience preferred

Summary of Position:  Communicate with patients, OAM staff, outside physician offices, insurance companies and hospital personnel to verify patient insurance, obtain referrals/authorizations and to coordinate ancillary test scheduling.

Duties and Job Responsibilities:

• Complete accurate and timely insurance eligibility verifications.
• Obtain necessary verification of insurance and other eligibility programs
• Confirm referrals as needed prior to patient visit
• Process In-Network and Out of Network referalls
• Contact patients and physicians’ offices as needed to verify data or obtain information
• Answer any questions that Front Office staff have in a timely manner
• Communicate effectively with patients and outside entities to coordinate and schedule ancillary testing.
• Schedule patient follow-up appointments accurately following clinical direction.
• Obtain all appropriate insurance company authorizations for surgeries and ancillary testing.
• Return patient messages in a timely manner.
• Obtain current and accurate demographic patient information.
• Review workload messages in Meditech.
• Observe and comply with all OAM personnel policies and procedures.
• Communicate and interact effectively with patients and families, physicians, peers and other team members to maximize successful patient outcomes.
• Maintain the confidentiality of patient and staff related information.
• Follow compliance and safety requirements.
• Other duties as assigned.

Qualifications, Credentials and Skills:

• Excellent communication skills.
• Strong organizational skills.
• Verbal and written skills necessary to communicate clearly and professionally with coworkers, patients, insurance companies and physician office personnel.
• Project and maintain a positive image in telephone interactions with patients, insurance companies, other health care providers and coworkers and maintain an appearance of composure under stressful situations.
• Basic computer, calculator, fax, copier skills.

Other Qualifications:          

• Ability to work as a team member of various work groups and multi-disciplinary problem-solving teams.
• Ability to hear and communicate via telephone with patients and staff.
• Ability to exercise good judgment, work independently without close supervision and respond to concerns of others with tact.
• Ability to organize and prioritize duties, shifting suddenly to new tasks as priorities change, adjusting work schedule to reflect changing situations and requirements.
• Ability to concentrate in a busy work area.

Foundational Values:        

• Observe and comply with OAM Core Values.
• Provide professional and friendly atmosphere.
• Provide excellent customer service.
• Introduce self when greeting patients and visitors in person or via telephone.
• Follow appropriate chain of command for reporting issues such as grievances, patient complaints and staffing issues.
• Use time effectively.
• Treat all people fairly regardless of age, race, sex, disability, religion, etc.

Physical Requirements:  The employee is regularly required to sit and/or stand for extended periods of time; walk; and stoop, kneel, and talk and hear.  The employee must occasionally lift and/or move up to 40 pounds. Must possess the degree of total body strength necessary to assist patients with transfers and mobility; occasionally may need to push/pull >200 lbs when transporting patients in wheelchairs. Must be able to stretch, reach and retrieve equipment and supplies. Visual acuity, color vision, hearing acuity are necessary.