STATEMENT OF PURPOSE:
The patient care specialist facilitates all aspects of patient activities as a collaborative effort across the heath care continuum. The patient care specialist will ensure that our patients receive the appropriate in-house testing and follow up as recommended by the Center for Women providers. This patient-centered approach will allow for a centralized approach to meeting our patients’ needs.
ESSENTIAL FUNCTIONS:
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Obtain authorization for in-office testing (i.e. ultrasounds and non-stress tests) by contacting the appropriate insurance carrier, communicating the provider's instructions, and transmitting information as needed to obtain authorization
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Communicate with and schedule patient once authorization is received for in-office testing
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Clearly document patient services as related to insurance approvals and patient communications in appropriate location in Sun Life’s EHR
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Track pending authorizations and patients that have yet to be scheduled as to ensure all tasks are completed for each patient in a timely manner
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Facilitate rescheduling of testing as needed by patients
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Review, contact, and reschedule “no shows” for testing with appropriate documentation
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Enter orders so the testing reports can be reviewed by the provider efficiently
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Maintain a cooperative relationship among health care teams by compiling statistics, communicating information, responding to requests, building rapport and participating in problem-solving methods
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Refer patient to Outreach department if eligibility for sliding fee is identified or if a change in payor source is identified to align resources with patient and population needs
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Run reports monthly to confirm patient appointments
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Make use of eCW registry reporting to track all high-risk patients to maintain quality and reduce gaps in care
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Manage MFM Referrals
- Place ultrasound orders
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Attach ultrasound reports to patient’s chart eCW.
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Any other tasks designated by supervisor
EDUCATION AND EXPERIENCE:
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High School Diploma or equivalency preferred
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Experience as a receptionist in a health care setting preferred
