• Call insurance companies for required precertification on orthopaedic and neurological surgeries completed at hospitals and surgery centers.
• Provide precise and helpful information to patients in order to maintain patient satisfaction involving coverage issues or dispute questions (whether in person or on the phone).
• Contact all insurance companies involving approvals, denials and general information.
• Inform Team Lead and/or Director of Business Operations of any concerns with authorization of a procedure.
• Schedules office and hospital based medical procedures for patients with appropriate provider and time/location slot, utilizing appropriate scheduling codes.
• Responds to calls, emails, and queries that patients and providers might have.
• Provide information and updates in regards to patients’ surgery schedules.
• Assist patients with guidance on filing all necessary forms.
• Assist patients with information necessary to pay all medical charges.
• Inform patients and any relevant third party through instructions about “things to do” before and after surgeries.
• Assure appropriate coordination with all involved when special surgical needs occur.
• File, collect, and organize pre and post operational data for reference
• Verify insurance information
• Greet patients and provide outstanding customer service
• Open/Close office for evening
• Complete other duties as assigned

QUALIFICATIONS, SKILLS AND ABILITIES:

• Work as part of a team and work independently.
• Maintain confidentiality and sensitive information
• Strict attention to details
• Mathematical skills
• Strong organizational and interpersonal skills
• Documentation skills
• Listening and verbal communication
• Must be able to act calmly and effectively in a busy or stressful situation
• Proficiency in computer skills including typing speed and accuracy
• Ability to operate copier/printer/fax
• Ability to operate telephone with voice mail.

EDUCATION and/or EXPERIENCE:

High school diploma or general education degree (GED) plus one-year related experience and/or training; or equivalent combination of education and experience.

LANGUAGE/MATHEMATICAL SKILLS

• Ability to read, write and speak the English language along with medical terminology.
• Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.

REASONING ABILITY

• Ability to solve problems
• Ability to interpret a variety of instructions furnished in written, oral, diagram or schedule form.

PHYSICAL DEMANDS

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 functions.

While performing the duties of this job, the employee is frequently required to walk; use hands to finger, handle or feel; and reach forward with hands and arms. The employee is required to sit and stoop, kneel or crouch. The employee must frequently lift and/or move up to 20 pounds and occasionally lift or move 50 lbs, including assisting patients when required. Employees are also required to stand, feel objects, tools, or controls, talk and hear. Employee must have adequate physical ability including sufficient manual dexterity to perform the requisite health care services.

Specific vision abilities required by this job include close vision, distance vision, and the ability to adjust focus.

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Ability to work in high stress and high-volume times.
• Ability to work in an area of moderate noise

INTERPERSONAL SKILLS

• Ability to maintain confidentiality and promote and support positive working relations among co-workers.