Job Details
Job Location
New Milford - New Milford, CT
Position Type
Full Time
Salary Range
$18.00 - $20.00
Job Category
Admin - Clerical
Description
GENERAL STATEMENT OF DUTIES:
The Call Center Representative's primary responsibility is to schedule new patients for all physicians in accordance with core schedule and on-call schedule; follow protocol pertaining to any daily changes in physician's schedule; thoroughly and accurately complete patient registration to include, but not limited to collecting/verifying insurance information and eligibility.
Schedule: Monday-Friday 8am-5pm (no weekends)
Benefits:

• 401(k) matching profit sharing
• Health/Dental/Vision Insurance
• FSA/HSA options
• Life insurance/AD&D/STD/LTD
• Paid time off
• Employee Discount Program

RESPONSIBILITIES / WORK REQUIREMENTS:
Call Center

• Schedule new patients for all physicians in accordance with core schedule and on-call schedule
• Follow protocol pertaining to any daily changes in physician's schedule
• Thoroughly and accurately complete patient registration:
  • Reason for appointment
  • Physician preference
  • Workers compensation or motor vehicle related injury
  • Insurance card required at time of appointment
  • Physician referral insurance requirements
• Collect all required meaningful use information
  • Ethnicity
  • Smoking History
  • Active medications
  • Medication Allergies
• Prepping Accounts
  • Print out daily charge tickets in advance of scheduled appointments and preps per policy
  • Review 90 day globals
  • Add/verify co-pay collection
  • Verify PCP and referring physician
  • Confirm physician referral requirements
• Review eligibility reports for inactives and AAA's
• Adhere to scheduling protocol and/or redirect to Physician Secretary for clarification
• Maintain patient log for purposes of tracking daily registration activities

Pre-Certification:

• Verifies insurance coverage to obtain precertification/authorization for all radiology tests, specialty injections, and other services as needed.
• Maintains contact with testing facilities regarding scheduled tests/STAT orders
• Faxes all pre-authorized services to facilities, and makes any changes, as needed.
• Enters benefits and precertification/authorization into EMR system.
• Follows up daily on all pending orders, obtaining office notes if needed for insurance companies
• Courteously and efficiently answers all incoming calls and connects callers with the correct extension; pages staff when necessary

Switchboard Operator

• Maintains accountability and location of all Physicians, PAs, and staff daily
• Performs operator functions including triaging calls; connecting and transferring calls; Taking ER consults for on call physician; and reporting telephone and equipment malfunctions to the appropriate party
• Provides a pleasant and helpful phone contact for callers
• Responsible for opening and closing the switchboard according to company procedures

Qualifications
REQUIRED KNOWLEDGE, SKILLS AND ABILITIES:

• At least 1 year of Medical office administration experience preferably patient scheduling
• Knowledge of practice management scheduling systems, ie. Centricity
• High school graduation or GED; post graduate degree preferred
• At least one year of work experience in a medical office setting
• Knowledge of medical office procedures and insurance verification
• Ability to demonstrate a mature, dependable, and responsible approach when interacting with patients, physicians, co-workers, and additional outside sources
• Proactive self-starter
• Understands referral requirements of major third-party payers
• Ability to multi-task, prioritize and exceptional attention to detail
• Excellent organizational, verbal and written communication skills

ACCEPTABLE EXPERIENCE AND TRAINING:

• High school graduate or GED
• Knowledge of medical terminology desirable
• One year office work experience
• Computer savvy
• Previous insurance experience is desirable

OrthoConnecticut, delivering exceptional care and real results has always been our mission, though we did things a little differently when we opened our doors in 1954. Today, we provide orthopedic care in a new state-of-the-art Musculoskeletal Center of Excellence, in which we provide the full spectrum of high-quality services under one roof. Now we can diagnose and treat the complete range of musculoskeletal issues for all ages in one easily accessible location with minimal wait time and a more efficient patient experience. One thing that hasn't changed since in 1954: our commitment to you
OrthoConnecticut is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
The above statement reflects the general duties considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all the work requirements that may be inherent in the job.