Patient Services Specialist- CMC Orthopedic Myers Park

Overview

Department
: 38789 Carolinas Medical Center - Clinic:
Orthopedic:
Myers Park
Status
:
Full time
Benefits Eligible
:
Yes
Hours Per Week
: 40
Schedule Details/Additional Information
: M-F 8-5pm
Pay Range
: $21.85 - $32.80

• Schedules surgeries for patients and physicians. This includes but is not limited to calling, faxing, contacting facilities, providing necessary scheduling information, ensuring special equipment, coordinating and confirming schedules.
• Assures all necessary requirements for surgery are met, including patient s history, physical, and ancillary testing results to assure timely completion prior to procedure. Forwards to facility and/or physician as indicated.
• Provides general information and education regarding pre and post-operative care with patient and/or family members. Assesses when further education is needed and refers back to the nurse as indicated. Redirects patients back to specialists/providers and facilities where appropriate.
• Screens referrals and pre-certification requests for completeness, coverage, network affiliation and medical appropriateness.
• Collaborates with the manager and/or insurance company to review referrals and/or pre-certification, policies, practice guidelines, denials, patient noncompliance, medical necessity, physician issues and other managed care issues as needed.
• Directs surgeries to appropriate facility to allow for maximum reimbursement. Coordinates insurance issues with pre-registration and/or credit department when appropriate.
• Acts as a liaison with physicians, patients, patient care staff, families, vendors/providers and insurers regarding referrals and preauthorizations.

• None Required.

• High School Graduate.

• Typically requires 1 year of experience in scheduling.

• Ability to provide good customer service and multi-task on a regular basis.
• Knowledge of insurance coverage.
• Strong verbal, interpersonal, and written communication skills.
• Ability to pay close attention to detail in a fast-paced environment.
• Must have knowledge on how to navigate on the Internet.
• Proficient computer and keyboarding skills.
• Strong ability to prioritize work flow.

• Exposed to a normal office environment. May be exposed to high noise level.
• Must be able to sit majority of the workday.
• Must be able to lift up to 10 lbs. occasionally.
• Operates all equipment necessary to perform the job.

Note:

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:

• Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
• Premium pay such as shift, on call, and more based on a teammate s job
• Incentive pay for select positions
• Opportunity for annual increases based on performance

• Paid Time Off programs
• Health and welfare benefits such as medical, dental, vision, life, and short- and long-term disability
• Flexible Spending Accounts for eligible health care and dependent care expenses
• Family benefits such as adoption assistance and paid parental leave
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois;
Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in…