Insurance Precertification Jobs in Missouri (NOW HIRING)

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ESSENTIAL FUNCTIONS

• Patient Scheduling and Coordination of Care - 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 consultations. Obtains patient medical records to facilitate patient care. Triages telephone calls from patients and referring physicians to surgeons, residents and nurse practitioners. Using the Cadence and eRecord systems.
• Patient Scheduling and Coordination of Care - Schedules appointments, imaging, surgeries and other testing, coordinating appointments, imaging, consults and other testing in preparation for surgery or further clinical work-up. Interacts effectively in carrying out these responsibilities, presenting a positive image for the Division of Colon and Rectal Surgery. Works regularly with Strong Health patient registration and clinical information systems. Obtaining authorizations for the clinic, procedures and surgeries.
• Document and Information Management - Coordinates maintenance of patient records, including office charts, documentation for billing, completion/submission of documents regarding patient care and insurance. Transcribes, proofreads, and ensures accuracy and timeliness of all written materials, including medical reports and correspondence, and business correspondence. Demonstrates knowledge of medical terminology, word processing, spreadsheets, and presentation software. Researches hospital medical records for information requested by physicians, insurance companies and attorneys. Scanning patient information into the records via OnBase system. Sending Endosoft reports to referring offices and primary care offices. Sending endosoft recall letters to remind patients when they are due for their next endoscopy procedure.
• Time and Calendar Management - Effectively balances competing demands of surgeon time by managing calendar, including all clinical activity, administrative meetings, research, education and academic commitments
• Billing/Financial Management - Obtains authorizations (surgeries, office visits and endoscopy) and pre-verifies insurance. Performs all front-end billing functions for surgical oncology group(s) and ensures these functions are performed in an accurate and timely manner. Functional knowledge of ICD10 coding, insurance company referrals/precertification, worker's compensation and demographic information.
• Other Office Management - Coordinates work with nurse practitioner(s). Manages all incoming mail for surgeon(s) and nurse practitioner(s) assuring that all correspondence receives timely attention and is followed up appropriately. Coordinates transfer of patient studies to and from other hospitals and physician offices. Assists with department hiring processes by training incoming new secretaries or temporary secretaries when requested. Functional knowledge of various office equipment. Provides coverage for absences within the division, off-site practice location, and within the department when requested.
• Practice Site Coordination - Serves as primary contact for management of off-site practice locations making sure that space is clean and orderly. Ensures compliance with all applicable regulations and Medical Center policies. Interfaces with front desk staff at off-site locations to coordinate scheduling. Provides coverage as needed to offsite locations. Works at the front desk completing check in and check out processes.

MINIMUM EDUCATION & EXPERIENCE

• High School diploma and 2 years of relevant experience required
• or equivalent combination of education and experience

KNOWLEDGE, SKILLS AND ABILITIES

• Medical Terminology, experiences with surgical/appointment scheduling software (such as Flowcast), and electronic medical records, preferred.
• Demonstrated customer relations skills

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