Crouse Medical Practice, PLLC - Syracuse, NY

Responsible to: Clinical Manager

Position Overview :

Provides referral support for the professional teams through positive customer service, diagnostic appointment scheduling, processing insurance authorization, maintaining and organizing appropriate documentation, copying, faxing completed orders, and other clerical duties as required. Works with the physicians, managers and staff to promote quality and cost effective daily operations. Establishes and maintains good interpersonal relationships with patients, their families, the public and co-workers. This position works collaboratively with all other staff to assist the patient and facilitate successful patient interaction with the practice team. This position reflects and carries forward the mission and goals of the practice both internally and throughout the community.

Duties:

Apply practice standing orders when performing various job functions.

  • Referrals and Authorizations
  • Verifies patient insurance information, contacts insurance carriers to obtain authorizations for diagnostic testing.
  • Generates diagnostic orders in EMR, faxes necessary supporting documentation along with script to testing facilities.
  • Demonstrates a clear understanding of the medical chart and has the ability to provide clear and accurate supporting clinical information as necessary to support the need for ordering tests.
  • Follows guidelines for testing, provides acceptable diagnosis for testing requested advises testing centers if diagnosis supplied for testing is non-covered and advises patient as necessary.
  • Demonstrates ability to look up and re-process prescriptions for diagnostic procedures.
  • Accurately documents clinical message in EMR, verifying spelling of name, phone number, and date of birth. Uses last four digits of the social security number or date of birth to look patients up in EMR.
  • Demonstrates computer skills to accurately maintain provider orders based on established policies and protocols
  • Prepares supporting documentation and demonstrates the ability to print, fax and generate all required documentation necessary for referral as scheduled.
  • Demonstrates the ability to accurately determine ICD-9-cm and CPT codes for ordered tests.
  • Ensures the delivery of the Patient Centered Medical Home Standards through a care team approach.
  • Scheduling
  • Schedules outside testing and specialists appointments as required.
  • Effectively communicates information regarding testing appointments to patients.
  • Accurately documents all communication regarding appointments in EMR telephone templates, diagnostic ordering templates, and plan templates accordingly.
  • Tasks all patient appointments to the ordering physician’s nurse for follow up.
  • Accurately manages phone request by scheduling patients, documenting the message or contacting clinical team for support when required.
  • Follows established scheduling protocols and directs clinical concerns to appropriate provider staff member.
  • General Expectations
  • Daily documents clinical messages in EMR based on established policy and procedures.
  • Organizes charts based on office protocol, discards items per policy.
  • Copies/faxes charts requested by outside offices.
  • Accurately inputs patient’s demographic and insurance information into computer as needed.
  • Reviews all encounter forms for accuracy.
  • Immediately responds to patients in a positive, friendly, helpful manner.
  • Any and all other clerical duties as assigned.
  • Patient Care Environment

Demonstrates appropriate knowledge and expectations related to emergency procedures to implement in the event of the medical emergency, violence, fire, disaster or severe weather

Required Qualifications:

 High School diploma.

 Minimum two years experience in healthcare.

 Proven ‘team player’ experience.

 Demonstrated experience in computer use.

 Understanding of insurance carrier authorization process.

 Knowledge of current ICD-10 and CPT-4 codes

Desirable Qualification:

 Demonstrated competence interpersonal and intra professional relations.

 Associates degree or certificate from medical assisting or secretarial school.

 Experience in medical terminology.

 Knowledge of NextGen practice management system.

To apply, please reply to this ad with your resume.

Job Type: Full-time

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