Southern Illinois Healthcare

  • HYPERBARIC OFFICE SPECIALIST

    Posted Date 4 months ago(7/18/2019 3:45 PM)
    Requisition ID
    2019-4411
    Job Locations
    US-IL-Herrin | US-IL-Murphysboro
    Category
    Office & Clerical
    Position Type
    Per Diem
    Shift
    8AM-4:30PM
    Weekend Requirement
    None
    Department
    Wound Care OP
  • Overview

    Responsible for performing duties to support patient care, efficient organization, compliance and viability of the Hyperbaric / Wound Care department operations. This includes patient intake, prior authorization, referrals, scheduling, follow-up, and clerical duties required to adequately communicate to providers and patients as well as promote the services available.

    Responsibilities

    • Safety
      • Manages processes effectively in regard to employee/patient safety.
    • Record Keeping
      • Maintains all required records, reports, statistics, logs, files and other documents as required, including but not limited to payroll, schedules and status changes.
    • Process Improvement
      • Promotes a culture of process improvement by participating in unit/department based programs that supports the system’s process improvement goals.
      • Actively participates on system-wide or hospital-based teams as needed.
    • Role Specific Responsibilities
      • Performs Patient Intake processes for Hyperbaric/ Wound Care service line.
      • Manages all aspects of appointment scheduling, patient transportation, appointment reminders / follow-up phone calls, no show letters and reporting of cancellations through appropriate channels / reporting structures.
      • Monitors EPIC prior authorization and referrals work queues daily
      • Identify and prioritize urgent and emergency prior authorizations and referral consultation requests
      • Checks chart for relevant referral/prior authorization information and shares with appropriate insurance provider or referring office provider within 48 hours of appointment
      • Call or submit online request to insurance providers for prior authorizations
      • Communicates effectively with patients, provider staff and insurance providers by telephone
      • Follow through on referrals and prior authorizations to completion/resolution in a timely fashion
      • Validates information for a prior authorization or referral request and follows-up with providers office regarding missing CPT codes or missing chart documentation
      • Collaborates with staff to identify workflow problems and identify solutions
      • Prepare all documentation to be scanned in to EPIC, including uploading of pictures.
      • Manage and update iHeal of all scheduled meetings, staffing, provider information and referral information for marketing purposes.
      • Maintain departmental supplies and update GEMBA board.
      • Print and assemble marketing materials.
      • Complete tasks in assigned billing/financial work queues.
      • Must be able to float between locations when necessary.

    Qualifications

    High School diploma

     

    Technical Experience: 1 year of office experience required and 1 year Hyperbaric experience preferred or 1 year insurance prior-authorization experience.

    Effective and excellent communication skills

     

    Must float between locations, as needed for coverage

     

     

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