Insurance Coordinator OMFS
Insurance Coordinator OMFS
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Job Description
- Epic Hyperspace applicationschedules patient appointments; utilizes resource scheduling techniques to link providers and resource rooms.
- Maintains Epic Hyperspace application to build and facilitate physician schedules
- Roe Application: schedule MRI CT etc
- Romexis System: saves incoming materials to internal system
- PATA scheduling system: schedules PreAdmission testing and appointments for surgical patients. Requires knowledge of clinical requirements for pretesting
- OR Book It system: using online OR booking system to electronically communicate with OR Schedulers and reserve prime time OR slots for surgical procedures. Also selects ultimate time for wait cases when OR time is unavailable for surgeon
- Patient Gateway system: use Patient Gateway to communicate with patients when necessary
- Access MOSAIC systems: MOSAIC for electronic OR schedules
- Microsoft Office Applications: as necessary use Outlook Word Excel Power Point Super User
- Insurance Knowledge of all types of insurances to better aid patients financial responsibilities
- Cross covers for other staff members for breaks lunches vacations etc and during variations in workflow as needed
- Temporarily provides coverage and support to physicians during unexpected staff vacancies
- Aids in training of new insurance coordinators when needed
- Communicates both internally and externally to efficiently provide follow up appointments and referrals to multidisciplinary practices
- Communicates with physicians and nurse practitioners regarding patient flow issues and develops and implements improvement plans
- Meets with Physician on a weekly basis for a smooth and organized practice
- Works with departmental managers to implement new technology participate in meetings and process improvement projects.
- Performs all other duties that are practice specific and are appropriate to this level of position including fostering and enhancing relationships with other departments and areas in the hospital as well as referral base outside of MGH
- Minimum of high school degree
- Associates or Bachelors degree or equivalent secretary certificate or working experience preferred
- Minimum of 35 years of applicable experience required
GENERAL SUMMARY/ OVERVIEW STATEMENT:
Working under general supervision and direction from the Accounts Receivable Manager. The incumbent will provide high quality customer service for oral and maxillofacial patients. The incumbent will support all aspects of the physicians practice for clinical care management including working with the academic coordinator to maintain the schedule and activities of the physician. Facilitates and schedules all patient appointments including surgical and ancillary tests obtaining referrals authorizations and precertifications on all surgical patients. In addition to analyzing office systems work flow referral pattern enhancement this position involves responsibility for helping with the process enhancement of the practice in all activities. Requires discretion and judgement to organize priorities complete tasks and handle confidential patient information.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
- Manage high volume phone lines in a professional and courteous manner
- Schedules patient procedures using Epic System
- Orders/ coordinates/obtain outside films as well as any additional clinical information needed to insure efficiency and accuracy of consultations and second opinion visits
- Calls all patients for reminders of appointments procedures and monies due
- Answers patient/family questions regarding appointments surgery and preoperative instructions as appropriate
- Reviews and obtains insurance approvals for main operating room cases outpatient procedures and tests ie MRI CT
- Schedules follow up appointments procedure IVS as appropriate
- Provides reassurance to patients and families regarding treatment course and follow up communication contact
- Manages preparation of surgical cases: confirms preop testing compile necessary paperwork and confirm date and time of procedure
- Schedules and maintains the main operating room schedule for physician
- Works with Admitting Department and International Office to coordinate appointments of self pay and international patients
- Request financial quotes for pending inpatient or outpatient services and relate information to patient when necessary
- Aids in billing issues and solutions
- Coordinates appointments with MGH interpreters as necessary
- Insure and protects patient confidentiality: works within HIPAAcompliant procedures
Required Experience:
IC
Employment Type
Full-Time
