Physician Support Representative

Overview

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.

Address: 601 Elmwood Ave, Rochester, New York, United States of America, 14642

Worker Subtype: Regular

Time Type: Full time

Scheduled Weekly

Hours:

40

Department: 910131 Thoracic Surgery

Work Shift: UR - Day (United States of America)

Range: UR URC 205 H

Compensation Range: $19.62 - $26.49

The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.

Performs complex secretarial and administrative duties, in a fast-paced environment with minimal direction and considerable latitude for independent judgment, in support of the clinical, educational, and academic programs for the Faculty of Thoracic and Foregut Surgery. Responsibilities include time and calendar management, telephone triaging and management, prior authorizations and information/data support.

Patient Scheduling and Coordination of Care 40%

• Receives incoming patient telephone calls for surgeon(s) and nurse practitioner(s), managing and/or resolving various scheduling/coordination issues and answering questions as needed. Coordinate scheduling of patients at multiple practice sites; coordinates referrals for consults. Triages telephone calls from patients and referring physicians to surgeons, residents and nurse practitioners. Processes incoming referrals not generated within the UR system.
• Perform a needs assessment using information from the electronic medical record to ensure the appropriate appointment/procedure is scheduled with the appropriate provider; ensure that accurate patient demographic and current insurance information is captured; adhere to RIM protocols for record verification
• Manages the intake of new referrals through various sources, including the eRecord work queue, faxed referrals, and phone calls from outside providers. Enters faxed referrals into the record system.
• Ensures ancillary testing and other specialty referrals have been executed and results received and acted upon as needed. Investigates failure to receive such information, troubleshoot, resolve, and/or make recommendations to ensure delivery/receipt.
• Acquire insurance authorization for the visit and, if applicable, any testing; insurance authorization information will be entered in the Epic referral record for the patient, and referral records to any visits in which they are missing.
• Provides patients with appointment and provider information, directions to the office location, and any educational materials if appropriate.
• Documents all communications pertaining to the referral and/or insurance authorization in the notes section of the Epic referral record.
• May perform complex appointment scheduling, linking referrals and ancillary services for the assigned specialty service.
• Ability to make decisions that are guided by protocols and practices requiring some interpretation; maintains an expert-level understanding of the department/division.
• Prior authorization functionality will be required for testing and services ordered by referred-to specialists, including but not limited to:
• Prepares and provides multiple, complex details and facts to the insurance carrier or worker’s compensation carrier to obtain prior authorizations for standard and complex requests such as imaging, non-invasive procedures, sleep studies, etc.
• Communication of medical information to the insurance carrier Completes referral entry for all external referrals into Epic following approved protocols
• Coordinates any ancillary testing and obtains any outside records needed…