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Job description
You Matter Here!Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter!Hours: 32-Hours, Days, Monday - Friday, Wednesdays Off, Start times are 8:00am and 7:15am$19.00 - $26.86We are committed to equitable and transparent compensation practices. The salary range for this position reflects our good-faith estimate of base pay at the time of posting. Final compensation will be determined based on a variety of factors, including relevant experience, skills, qualifications, and internal equity. We regularly review our compensation structures to ensure fairness and consistency across our organization.Job Summary:Under the direction of the Senior/Practice Manager incumbent is responsible for scheduling surgeries (if applicable) and/or referral and prior authorization processing. As an Office Assistant II, you will utilize administrative/clinical knowledge to schedule appropriate procedures/surgeries per provider's orders. As an Office Assistant II you will act as a Surgical Scheduler to schedule office- based and hospital procedures consistent with the patient's diagnosis and procedure request. Also, must be able to respond to both written and oral correspondences regarding scheduling changes/cancellations in a timely, accurate manner. Individual must be organized, and be able to manage demanding workload with accuracy. See full description below. As an Office Assistant II you will act as a Referral/Prior Authorization Specialist to ensure referrals are scheduled in a timely manner, maintains tracking and appropriate documentation of referrals and authorizations. See full description below.ResponsibilitiesOrganizational ExpectationsBehavioral Attributes:The following behavioral attributes are required: achievement motivation, concern for order, flexibility, initiative, self-confidence, customer service oriented, interpersonal effectiveness, teamwork, analytical thinking and information seeking.Essential FunctionsAnswers telephones, schedules in office appointments, takes messages accurately and routes appropriatelyCompletes tasks associated with clinical inbox/ practice buckets (personal, practice referral, medical record and others assigned) proficiently and in a timely mannerCompletes tasks associated with workflow dashboard (Appointments to be rescheduled, appointment tickers, no shows and others assigned) proficiently and in a timely mannerArrives patients, verifies all required fields for most current, up to date patient information. Has patient complete appropriate forms, accurately documents information provided by patients in EMR and completes check-in.Departs patient from office, provides any necessary patient information and schedules appointments in office and outpatient appointments as neededCollects copays/payments, maintains records and reconciles daily depositsVerifies insurance coverage and eligibility and negates issues prior to patient visit whenever possiblePerforms a variety of clerical functions to support office such as typing, filing, scheduling appointments, making phone calls and related duties as required or directed.Process incoming faxes and daily mail including barcoding and document processing within EMR.Schedules and coordinates patient visits and medical procedures, for both inpatients and outpatientsRegisters patients utilizing computer-based registration/scheduling systemProcesses Medical Records incoming and outgoing according to practice guidelines and regulationsMaintains assigned office and/or clinical supplies. Assures accurate inventory of supplies based on approved levels. Rotates stock as required. Initiates requisitions for re-supply or special items.Maintains records, reports, logs and other statistical information as required or directed.Surgical Scheduler Role/ResponsibilitiesSchedules office and hospital based medical procedures, for patients with appropriate provider and time/location slot, utilizing appropriate scheduling codes.Schedules diagnostic and imaging tests. Schedules office and hospital-based procedures, tests and imaging ensuring available time is utilized to maximum efficiency.Interfaces with appropriate vendor staff to ensure all necessary equipment will be on site for office and hospital-based procedures.Interfaces with appropriate hospital staff to ensure a cohesive working relationship in providing patient care services.Enters notes/special instructions needed for scheduling in EMR.Effectively utilizes clinical knowledge when determining if appointment is consistent with the diagnosis/indications indicated by the provider.Completes accurate documentation of informed consent with patients for procedures and surgeries as needed.Provides accurate, detailed information to patients regarding test preparations, time of patients scheduled arrival, and any other directional information needed; takes appropriate action in responding to questions from patients.Confirms patient's insurance provider and obtains all necessary prior authorizations or referrals appropriately.Ensures patients have proper medical clearance and pre-surgical testing as needed.Completes pre-procedure phone calls and confirms appointment times with patients via telephoneDemonstrates use of quality improvement in daily operationsEnsures completion of assessment for advanced directive, including DNR when applicableReferral And Prior Authorization SpecialistSchedules and coordinates patient referrals to ordered services expeditiouslyEstablishes a close working relationship with preferred providers to facilitate schedulingEnsures any necessary paperwork, medical records and insurance referrals are processed and provided to specialty provider in advance of patient appointmentStays current with insurance referral and prior-authorization requirementsObtains necessary prior-authorizations for ordered procedures and diagnostic studies as requiredIssues patients managed care referrals as requiredHas working knowledge of our local network/preferred providers and works with practice providers and PHO to minimize leakageCloses the referral loop follow up on assigned open orders-results/consults pendingMaintains records, reports, logs and other statistical information as required or directedActs as office communications liaison for patients and healthcare providers for referrals and authorizationsAssists in appeals process as directedVerifies insurance coverage and eligibilityCompletes PT-1 forms as required for patient transportation to scheduled servicesCompletes tasks associated with clinical inbox/practice buckets (personal, practice referral, medical record and others assigned) proficiently and in a timely mannerThoughtfully communicates with patients regarding scheduled services, accurately providing any necessary information such as date, time, prep, pre-registration requirements, etc. in advance of the appointmentResponsibility Of All Job RolesActively participates in quality measure managementDemonstrates use of quality improvement in daily operationsPerforms all aspects of patient care in an environment that organizes patient safety and reduces the likelihood of medical/health care errors.Assists other members of the department as neededAttends variety of meetings, conferences, and seminars as required or directedComplies with established departmental policies, procedures, and objectivesComplies with all health and safety regulations and requirementsRespects diverse views and approaches, and contributes in maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors. Attends all H.E.A.R.T trainingsProvide coverage when needed at other locations within Heywood Medical Group.Completes all Annual Mandatory Education requirements.All other duties and locations as assigned.Statement Of Other DutiesThis document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described.QualificationsJob RequirementsMinimum EducationHigh School diploma or equivalent requiredMinimum Work ExperienceThree (3) year of experience in a medical office preferredRequired SkillsExcellent written and verbal communication skillsExcellent customer service skills
Worksite address
westminster, MA, 01473, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.