What are the responsibilities and job description for the Procedure Scheduler position at Ortho Louisville?
General Job Summary: Vital to the success of organization with providing OrthoCincy’s patients and visitors with a premier orthopaedic experience and focusing on their individual needs. Responsible for pre-certifying tests and procedures.
Essential Job Functions:
- Provides excellent customer service to patients by addressing their concerns and providing necessary information.
- Prepares, organizes, prioritizes documents and communicates all necessary paperwork and information needed by insurance companies for the prior authorization process.
- Ability to achieve minimal denials due to prior authorization accuracy.
- Obtain authorizations for imaging procedures, surgical procedures, and injections from various insurance providers.
- Verify patients' insurance benefits and eligibility and obtain the required pre-authorization for treatment or services.
- Provides patient education per provider protocol.
- Establish and maintain effective working relationships with patients, providers, co-workers and external contacts regarding procedures and testing.
- Maintain patient information in an electronic health records and practice management system.
- Answer messages, emails, and/or voice mails in a timely and professional manner.
- Demonstrates sound judgement by notifying providers/teams regarding questionable findings and concerns in an urgent manner.
- Compliance with HIPAA guidelines.
- Takes initiative in performing additional tasks that may be necessary or in the best interest of the practice.
Education/ Experience: High school diploma or equivalent required. Medical certification required with two to five years’ experience as a Medical Assistant preferred. CPR/AED and First Aid Certification preferred.
Other Requirements. Must be patient care oriented with a team environment focus. Schedules will change as department needs change, including overtime and weekends. Weekly travel between locations.
Performance Requirements:
Knowledge:
- Knowledge of OrthoCincy’s Mission, Vision and Values.
- Knowledge of customer service principles and techniques.
- Knowledge of electronic health records and practice management systems.
- Knowledge of medical terminology.
- Knowledge of HIPAA guidelines.
- General knowledge of insurance guidelines.
Skills:
- Strong interpersonal and teamwork skills.
- Strong critical thinking and decision-making skills.
- Strong customer service skills.
- Proficiency in computer systems and software used for pre-certification purposes.
- Strong communication skills in a professional manner during stressful and sensitive situations with patients of all ages.
Abilities:
- Ability to project a pleasant and professional image.
- Ability to be self-directed and motivated in order to proactively plan, prioritize, and complete tasks.
- Ability to demonstrate compassion while caring for others
- Ability to analyze situations and respond appropriately.
- Ability to consistently demonstrate ability to respond to changing situations in a flexible manner in order to meet current needs, such as reprioritizing work as necessary.
- Demonstrates regular, consistent, and punctual attendance.
- Exhibits desire to continuously learn, improve service delivery, and work in a team environment.
Equipment Operated: Standard office equipment.
Work Environment: Medical office.
Mental/Physical Requirements: Involves sitting approximately 90 percent of the day. Repetitive data entry. Must be able to remain focused and attentive without distractions (i.e. personal devices).
Job Type: Full-time
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Disability insurance
- Employee assistance program
- Employee discount
- Flexible schedule
- Flexible spending account
- Free parking
- Health insurance
- Life insurance
- Paid time off
- Referral program
- Tuition reimbursement
- Vision insurance
Work Location: In person