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Call Center Representative - New Milford

OrthoConnecticut, The Region’s leading Orthopedic Specialists. Delivering exceptional care and real results has always been our mission, though we did things a little differently when we opened our doors in 1954. Today, we provide orthopedic care in a new state-of-the-art Musculoskeletal Center of Excellence, in which we provide the full spectrum of high-quality services under one roof. Now we can diagnose and treat the complete range of musculoskeletal issues for all ages in one easily accessible location with minimal wait time and a more efficient patient experience. One thing that hasn’t changed since in 1954: our commitment to you.

OrthoConnecticut offers a competitive benefits and compensation package to include but not limited to generous PTO, standard holidays, 401k, health, dental, vision, company paid life/AD&D insurance and more.

We are looking for a full-time, self-motivated and organized individual to join our dedicated team of health care professionals where patient care comes first.

GENERAL STATEMENT OF DUTIES:

The Call Center Representative’s primary responsibility is to schedule new patients for all physicians in accordance with core schedule and on-call schedule; follow protocol pertaining to any daily changes in physician’s schedule; thoroughly and accurately complete patient registration to include, but not limited to collecting/verifying insurance information and eligibility.

Primary Functions Call Center:

  • Schedule new patients for all physicians in accordance with core schedule and on-call schedule
  • Follow protocol pertaining to any daily changes in physician’s schedule
  • Thoroughly and accurately complete patient registration:
    • Reason for appointment
    • Physician preference
    • Workers compensation or motor vehicle related injury
    • Insurance card required at time of appointment
    • Physician referral insurance requirements
  • Collect all required meaningful use information
    • Ethnicity
    • Smoking History
    • Active medications
    • Medication Allergies
  • Prepping Accounts
    • Print out daily charge tickets in advance of scheduled appointments and preps per policy
    • Review 90 day globals
    • Add/verify co-pay collection
    • Verify PCP and referring physician
    • Confirm physician referral requirements
  • Review eligibility reports for inactives and AAA’s
  • Adhere to scheduling protocol and/or redirect to Physician Secretary for clarification
  • Maintain patient log for purposes of tracking daily registration activities

Pre-Certification:

  • Verifies insurance coverage to obtain precertification/authorization for all radiology tests, specialty injections, and other services as needed.
  • Maintains contact with testing facilities regarding scheduled tests/STAT orders
  • Faxes all pre-authorized services to facilities, and makes any changes, as needed.
  • Enters benefits and precertification/authorization into EMR system.
  • Follows up daily on all pending orders, obtaining office notes if needed for insurance companies

Qualifications

REQUIRED KNOWLEDGE, SKILLS AND ABILITIES:

  • At least 1 year of Medical office administration experience preferably patient scheduling
  • Knowledge of practice management scheduling systems, ie. Centricity
  • High school graduation or GED; post graduate degree preferred
  • At least one year of work experience in a medical office setting
  • Knowledge of medical office procedures and insurance verification
  • Ability to demonstrate a mature, dependable, and responsible approach when interacting with patients, physicians, co-workers, and additional outside sources
  • Proactive self-starter
  • Understands referral requirements of major third-party payers
  • Ability to multi-task, prioritize and exceptional attention to detail
  • Excellent organizational, verbal and written communication skills

ACCEPTABLE EXPERIENCE AND TRAINING:

  • High school graduate or GED
  • Knowledge of medical terminology desirable
  • One year office work experience
  • Computer savvy
  • Previous insurance experience is desirable
  • The above statement reflects the general duties considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all the work requirements that may be inherent in the job.

Posted
11/24/2021
Salary Range
$25,000.00 - 36,000.00
per Year
Salary range estimated by
Location
New Milford, CT 06776, US