Medical Receptionist Job – NY, Centereach

This is an opening for the front desk of a busy practice. You are the first point of contact with the patients.

Essential Job Functions:

    • Perform all necessary receptionist duties including answering, screening and
    • Routing of phone calls. Take appropriate messages and ensure the proper delivery of those messages.
    • Be polite and courteous at all times.
    • Be able to triage phone calls and determine if urgent, give call to physician or nurse immediately.
    • Greet and register each patient as they arrive.
    • Verify patient demographics and insurance information into the EMR.
    • Collect any necessary co-payments.
    • Notify the provider/staff of patients arrival.
    • Schedule patient appointments.
    • Schedule any services or procedures as needed.
    • Maintain/prepare patient charts and physician schedule.
    • Open and close office, if needed.
    • Ensure HIPAA & OSHA guidelines are followed at all times.

city: Centereach

This is an opening for the front desk of a busy practice. You are the first point of contact with the patients.

Essential Job Functions:

    • Perform all necessary receptionist duties including answering, screening and
    • Routing of phone calls. Take appropriate messages and ensure the proper delivery of those messages.
    • Be polite and courteous at all times.
    • Be able to triage phone calls and determine if urgent, give call to physician or nurse immediately.
    • Greet and register each patient as they arrive.
    • Verify patient demographics and insurance information into the EMR.
    • Collect any necessary co-payments.
    • Notify the provider/staff of patients? arrival.
    • Schedule patient appointments.
    • Schedule any services or procedures as needed.
    • Maintain/prepare patient charts and physician schedule.
    • Open and close office, if needed.
    • Ensure HIPAA & OSHA guidelines are followed at all times.

Medical Assistant Job – NY, Port Jefferson Station

General Summary:

Responsible for performing a variety of duties that may be both clinical and administrative tasks. This includes assisting physicians with patient care and handling clerical, environmental and organizational tasks. Expected to provide information to patients so that they benefit from the clinical services.

Essential Functions:

  • Check schedules, organize patient flow, room patients.
  • Collect patient history including medications and reason for visit, chart in EMR, relay information
  • Check vital signs (blood pressure, pulse, temperature), measure height and weight
  • Set up equipment, maintain cleanliness of exam rooms, order supplies, keep exam rooms stocked
  • Assist with minor procedures, handle specimens, do CLIA waived tests
  • Send and receive medical records, obtain Lab & Test Results
  • Ensure patient results are reviewed by physician in a timely manner, provide appropriate followup as directed
  • OB/GYN expereince preferred, but not required
  • Follow HIPAA guidelines
  • Other duties as necessary

city: Station

General Summary:

Responsible for performing a variety of duties that may be both clinical and administrative tasks. This includes assisting physicians with patient care and handling clerical, environmental and organizational tasks. Expected to provide information to patients so that they benefit from the clinical services.

Essential Functions:

  • Check schedules, organize patient flow, room patients.
  • Collect patient history including medications and reason for visit, chart in EMR, relay information
  • Check vital signs (blood pressure, pulse, temperature), measure height and weight
  • Set up equipment, maintain cleanliness of exam rooms, order supplies, keep exam rooms stocked
  • Assist with minor procedures, handle specimens, do CLIA waived tests
  • Send and receive medical records, obtain Lab & Test Results
  • Ensure patient results are reviewed by physician in a timely manner, provide appropriate followup as directed
  • OB/GYN expereince preferred, but not required
  • Follow HIPAA guidelines
  • Other duties as necessary

Medical Receptionist Job – NY, Commack

This is an opening for the front desk of a busy practice. You are the first point of contact with the patients.

Essential Job Functions:

    • Perform all necessary receptionist duties including answering, screening and
    • Routing of phone calls. Take appropriate messages and ensure the proper delivery of those messages.
    • Be polite and courteous at all times.
    • Be able to triage phone calls and determine if urgent, give call to physician or nurse immediately.
    • Greet and register each patient as they arrive.
    • Verify patient demographics and insurance information into the EMR.
    • Collect any necessary co-payments.
    • Notify the provider/staff of patients arrival.
    • Schedule patient appointments.
    • Schedule any services or procedures as needed.
    • Maintain/prepare patient charts and physician schedule.
    • Open and close office, if needed.
    • Ensure HIPAA & OSHA guidelines are followed at all times.

city: Commack

This is an opening for the front desk of a busy practice. You are the first point of contact with the patients.

Essential Job Functions:

    • Perform all necessary receptionist duties including answering, screening and
    • Routing of phone calls. Take appropriate messages and ensure the proper delivery of those messages.
    • Be polite and courteous at all times.
    • Be able to triage phone calls and determine if urgent, give call to physician or nurse immediately.
    • Greet and register each patient as they arrive.
    • Verify patient demographics and insurance information into the EMR.
    • Collect any necessary co-payments.
    • Notify the provider/staff of patients? arrival.
    • Schedule patient appointments.
    • Schedule any services or procedures as needed.
    • Maintain/prepare patient charts and physician schedule.
    • Open and close office, if needed.
    • Ensure HIPAA & OSHA guidelines are followed at all times.

Registered Nurse -Ambulatory Surgical Center Administrator Job – New York, Smithtown

The Registered Nurse Administrator oversees and manages the daily functions of the surgical center and collaborates with the physicians and medical staff. This position provides clinical leadership, management, facilitates the provision of patient care services; coordinates nursing resources; supports, guides and serves as clinical consultant to staff; represents the facility to the patients, families and external agencies as required; serves as a liaison between nursing staff, administration, and other departments and disciplines regarding patient care and other related matters.

Essential Job Functions:

  • Initiates informal and formal self-directed evaluation of individual and group performance and learning opportunities that arise from incidents or situations
  • Coordinates, facilitates and prioritizes patient care using appropriate resources to problem solve.
  • Coordinates and facilitates patient flow based on special patient needs, acuity and staffing patterns
  • Supports an environment of patient safety
  • Serves as a resource or contributor in problem solving and developing innovative approaches to the provision of patient care services
  • Coordinates scheduling and general assignments of nursing staff to optimally support patient care
  • Represents the organization on first-line response basis for patient, family, regulatory agencies, including provision of administrative authorization when indicated
  • Responds to emergency situations by supporting and utilizing professional sources.
  • Provides guidance and problem-solving facilitating patient services.
  • Demonstrates safe, effective and proficient direct patient care when opportunities arise
  • Articulates and demonstrates expert nursing process when providing support and guidance to staff
  • Supports emergency situations by facilitating rapid response, coordinating personnel, follow-through on communication with family members and administration.
  • Demonstrates ability to provide or find appropriate clinical resources for problem-solving patient care situations and trouble-shooting equipment or devices.
  • Acts as a clinical and administrative resource to staff involved in potential or actual sentinel events, and reports the details through the appropriate risk management channels
  • Maintains clinical and leadership competency
  • Provides input to Nursing Education in assessment and identification of learning needs throughout facility.
  • Uses a systems approach to problem-solving that lends to aggregation of information, useful for program improvement and performance enhancement.
  • Participates in interviewing and selecting staff for the unit or clinical service
  • Functions as a respectful member of the health care team
  • Assists Nurse Manager with scheduling and staffing for optimal availability of resources
  • Establishes, and adjusts as needed, the assignment of nursing staff to patients based on unit specific standards, staff competency, and acuity of patients
  • Provides leadership for coordination of unit activity, serving as a role model and resource.
  • Guides, develops, and counsels staff regarding practice and performance standards.
  • Seeks consultation from the leadership in implementing disciplinary measures of an imminent nature, using principles of the caring, fair, and professional work environment.
  • Communicates regularly with the Director of Regulatory and Training regarding matters of patient safety, clinical practice, staff performance, and participates in the implementation of staff improvement plans.
  • Provides input to and participates in informal and formal review of performance standards of staff.
  • Communicates significant patient care issues, family concerns, safety, and critical events to leadership, seeks consultation and assistance when indicated, and reports to the Director of Regulatory and Training in timely manner.
  • Ensure all facility operations comply with AAAHC, Joint Commission, Department of Health, and other relevant standards.
  • Fosters an environment that promotes patient/family, physician and staff satisfaction, and communicates issues and concerns to Director of Regulatory and Training.
  • Participates in the implementation of action plans and identifies new opportunities for improvement.

city: Smithtown

The Registered Nurse Administrator oversees and manages the daily functions of the surgical center and collaborates with the physicians and medical staff. This position provides clinical leadership, management, facilitates the provision of patient care services; coordinates nursing resources; supports, guides and serves as clinical consultant to staff; represents the facility to the patients, families and external agencies as required; serves as a liaison between nursing staff, administration, and other departments and disciplines regarding patient care and other related matters.

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Essential Job Functions:

  • Initiates informal and formal self-directed evaluation of individual and group performance and learning opportunities that arise from incidents or situations
  • Coordinates, facilitates and prioritizes patient care using appropriate resources to problem solve.
  • Coordinates and facilitates patient flow based on special patient needs, acuity and staffing patterns
  • Supports an environment of patient safety
  • Serves as a resource or contributor in problem solving and developing innovative approaches to the provision of patient care services
  • Coordinates scheduling and general assignments of nursing staff to optimally support patient care
  • Represents the organization on first-line response basis for patient, family, regulatory agencies, including provision of administrative authorization when indicated
  • Responds to emergency situations by supporting and utilizing professional sources.
  • Provides guidance and problem-solving facilitating patient services.
  • Demonstrates safe, effective and proficient direct patient care when opportunities arise
  • Articulates and demonstrates expert nursing process when providing support and guidance to staff
  • Supports emergency situations by facilitating rapid response, coordinating personnel, follow-through on communication with family members and administration.
  • Demonstrates ability to provide or find appropriate clinical resources for problem-solving patient care situations and trouble-shooting equipment or devices.
  • Acts as a clinical and administrative resource to staff involved in potential or actual sentinel events, and reports the details through the appropriate risk management channels
  • Maintains clinical and leadership competency
  • Provides input to Nursing Education in assessment and identification of learning needs throughout facility.
  • Uses a systems approach to problem-solving that lends to aggregation of information, useful for program improvement and performance enhancement.
  • Participates in interviewing and selecting staff for the unit or clinical service
  • Functions as a respectful member of the health care team
  • Assists Nurse Manager with scheduling and staffing for optimal availability of resources
  • Establishes, and adjusts as needed, the assignment of nursing staff to patients based on unit specific standards, staff competency, and acuity of patients
  • Provides leadership for coordination of unit activity, serving as a role model and resource.
  • Guides, develops, and counsels staff regarding practice and performance standards.
  • Seeks consultation from the leadership in implementing disciplinary measures of an imminent nature, using principles of the caring, fair, and professional work environment.
  • Communicates regularly with the Director of Regulatory and Training regarding matters of patient safety, clinical practice, staff performance, and participates in the implementation of staff improvement plans.
  • Provides input to and participates in informal and formal review of performance standards of staff.
  • Communicates significant patient care issues, family concerns, safety, and critical events to leadership, seeks consultation and assistance when indicated, and reports to the Director of Regulatory and Training in timely manner.
  • Ensure all facility operations comply with AAAHC, Joint Commission, Department of Health, and other relevant standards.
  • Fosters an environment that promotes patient/family, physician and staff satisfaction, and communicates issues and concerns to Director of Regulatory and Training.
  • Participates in the implementation of action plans and identifies new opportunities for improvement.

Medical Receptionist- Island Fertility Job – NY, Commack

Job Summary:

Responsible for the coordination of the front reception area in regards to the professional services while ensuring the highest level of patient satisfaction and care.

Essential Job Functions:

  • Perform all necessary receptionist duties including the answering, screening and the routing of phone calls. Take appropriate messages and ensure the proper delivery of those messages.
  • Greet and register each patient as they arrive
  • Verify patient demographics and insurance information.
  • Schedule patient appointments and obtain any necessary documentation that may be required for such appointment.
  • Enters patient data into the electronic health records as well as documenting the payment into the patient’s electronic medical record at the time of service.
  • Schedule ancillary services and other procedures
  • Maintain patient charts and filing into EMR system
  • Prepare patient charts, physician schedules, and confirm appointments one day prior to scheduled appointment
  • Able to utilize all software available to assist in professional services including SPM, Cerner and Microsoft Word.
  • Verify and counsel patients regarding their insurance benefits.
  • Collect payments from patients.
  • Obtains authorizations for ancillary tests and medical procedures.
  • Responsible for coordinating and processing of all patient referrals including specialty and ancillary services.
  • Utilizes a high degree of accuracy in obtaining and verifying that registration, demographic and insurance information is correct and up to date.
  • Follows procedures for proper authorization and processing of all referral services.
  • Supports physicians and patients in synchronizing appointments, authorizations and tests taking place in different practices.
  • Communicates with patient and practice to ensure follow through with referrals.
  • Ensure patient results and correspondences are reviewed by the physician(s) and appropriate follow up is performed according to the physician (s) direction
  • Ensure HIPAA guidelines are followed
  • Type various letters, reports or any other correspondence
  • Necessary cross training to provide coverage for the office as needed

city: Commack

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Job Summary:

Responsible for the coordination of the front reception area in regards to the professional services while ensuring the highest level of patient satisfaction and care.

Essential Job Functions:

  • Perform all necessary receptionist duties including the answering, screening and the routing of phone calls. Take appropriate messages and ensure the proper delivery of those messages.
  • Greet and register each patient as they arrive
  • Verify patient demographics and insurance information.
  • Schedule patient appointments and obtain any necessary documentation that may be required for such appointment.
  • Enters patient data into the electronic health records as well as documenting the payment into the patient’s electronic medical record at the time of service.
  • Schedule ancillary services and other procedures
  • Maintain patient charts and filing into EMR system
  • Prepare patient charts, physician schedules, and confirm appointments one day prior to scheduled appointment
  • Able to utilize all software available to assist in professional services including SPM, Cerner and Microsoft Word.
  • Verify and counsel patients regarding their insurance benefits.
  • Collect payments from patients.
  • Obtains authorizations for ancillary tests and medical procedures.
  • Responsible for coordinating and processing of all patient referrals including specialty and ancillary services.
  • Utilizes a high degree of accuracy in obtaining and verifying that registration, demographic and insurance information is correct and up to date.
  • Follows procedures for proper authorization and processing of all referral services.
  • Supports physicians and patients in synchronizing appointments, authorizations and tests taking place in different practices.
  • Communicates with patient and practice to ensure follow through with referrals.
  • Ensure patient results and correspondences are reviewed by the physician(s) and appropriate follow up is performed according to the physician (s) direction
  • Ensure HIPAA guidelines are followed
  • Type various letters, reports or any other correspondence
  • Necessary cross training to provide coverage for the office as needed

Front Desk/Medical Assistant Job – New York, Smithtown

SUMMARY: The medical receptionist/medical assistant will assist the department with coordination of the daily operations of the front desk, and other duties to ensure efficient work flow and patient care.

Job Duties & Essential Functions:

  • Utilize Electronic Medical Record (EMR) and/or other systems for check-in/check-out processes including verifying patient demographics, insurance information, obtaining patient signatures on applicable patient forms, and have the patient complete any paperwork associated with the visit.
  • Enter/scan patient data into the EMR.
  • Collect any necessary payments and process accordingly.
  • Facilitate patient flow by notifying the provider of patients’ arrival, delays or backlogs and communicate with other staff and/or patients as necessary.
  • Schedule patient appointments and remind the patients of any necessary documentation that may be required for their appointment.
  • Schedule any services or procedures as needed.
  • Obtain/retrieve referrals/authorizations/eligibility verification that may be required.
  • Keep office supplies adequately stocked by anticipating inventory needs and placing orders or advising office manager of items needed.
  • Place patients in the examination rooms and document using the electronic medical record, medications, vitals and main reason for visit.
  • Perform screening and measuring procedures, which include but are not limited to, height, weight, blood pressure, pulse, temperature, EKG.
  • Obtain previous test results from outside labs, radiology, physicians’ offices, etc.
  • Prepare rooms after each patient and for specific procedures as needed.
  • Ensure the cleanliness and adequate supply of medical inventory in each exam room.
  • Ensure HIPAA and OSHA guidelines are followed at all times.
  • Perform all other duties as assigned by management.

city: Smithtown

SUMMARY: The medical receptionist/medical assistant will assist the department with coordination of the daily operations of the front desk, and other duties to ensure efficient work flow and patient care.

Job Duties & Essential Functions:

  • Utilize Electronic Medical Record (EMR) and/or other systems for check-in/check-out processes including verifying patient demographics, insurance information, obtaining patient signatures on applicable patient forms, and have the patient complete any paperwork associated with the visit.
  • Enter/scan patient data into the EMR.
  • Collect any necessary payments and process accordingly.
  • Facilitate patient flow by notifying the provider of patients’ arrival, delays or backlogs and communicate with other staff and/or patients as necessary.
  • Schedule patient appointments and remind the patients of any necessary documentation that may be required for their appointment.
  • Schedule any services or procedures as needed.
  • Obtain/retrieve referrals/authorizations/eligibility verification that may be required.
  • Keep office supplies adequately stocked by anticipating inventory needs and placing orders or advising office manager of items needed.
  • Place patients in the examination rooms and document using the electronic medical record, medications, vitals and main reason for visit.
  • Perform screening and measuring procedures, which include but are not limited to, height, weight, blood pressure, pulse, temperature, EKG.
  • Obtain previous test results from outside labs, radiology, physicians’ offices, etc.
  • Prepare rooms after each patient and for specific procedures as needed.
  • Ensure the cleanliness and adequate supply of medical inventory in each exam room.
  • Ensure HIPAA and OSHA guidelines are followed at all times.
  • Perform all other duties as assigned by management.

Medical Receptionist – Pulmonary Job – NY, Port Jefferson Station

Job Summary

  • Perform all necessary receptionist duties including answering, screening and routing of phone calls. Take appropriate messages and ensure the proper delivery of those messages. Be polite and courteous at all times.
  • Be able to triage phone calls and determine if urgent, give call to physician or nurse immediately.
  • Keep reception area clean and organized.
  • Greet and register each patient as they arrive.
  • Verify patient demographics and insurance information.
  • Enter patient’s data into the EMR.
  • Collect any necessary co-payments and process accordingly.
  • Facilitate patient flow by notifying the provider of patients’ arrival, delays or backlogs and communicate this with other staff and patients, if need be.
  • Schedule patient appointments and obtain any necessary documentation that may be required for such an appointment.
  • Schedule any services or procedures as needed.
  • Obtain referrals/authorizations that may be required for scheduled appointments/procedures. This varies by insurance plan.
  • Maintain/prepare patient charts, physician schedules and confirm appointments one day prior to scheduled appointment.
  • Telephone patients if there is a change in the physician’s schedule and/or appointment needs to be rescheduled.
  • Keep medical office supplies adequately stocked by anticipating inventory needs and placing orders or advising office manager.
  • Open and close office, if needed.
  • Ensure HIPAA guidelines are followed at all times.

city: Station

Job Summary

  • Perform all necessary receptionist duties including answering, screening and routing of phone calls. Take appropriate messages and ensure the proper delivery of those messages. Be polite and courteous at all times.
  • Be able to triage phone calls and determine if urgent, give call to physician or nurse immediately.
  • Keep reception area clean and organized.
  • Greet and register each patient as they arrive.
  • Verify patient demographics and insurance information.
  • Enter patient’s data into the EMR.
  • Collect any necessary co-payments and process accordingly.
  • Facilitate patient flow by notifying the provider of patients’ arrival, delays or backlogs and communicate this with other staff and patients, if need be.
  • Schedule patient appointments and obtain any necessary documentation that may be required for such an appointment.
  • Schedule any services or procedures as needed.
  • Obtain referrals/authorizations that may be required for scheduled appointments/procedures. This varies by insurance plan.
  • Maintain/prepare patient charts, physician schedules and confirm appointments one day prior to scheduled appointment.
  • Telephone patients if there is a change in the physician’s schedule and/or appointment needs to be rescheduled.
  • Keep medical office supplies adequately stocked by anticipating inventory needs and placing orders or advising office manager.
  • Open and close office, if needed.
  • Ensure HIPAA guidelines are followed at all times.

IVF- Medical Assistant Job – NY, Commack

General Purpose :

Responsible for the daily coordination of the clinical aspects of the medical office practice to ensure the highest level of patient care.

  • Place patients in the examination rooms and document for the physician the medication log , vitals and the main reason for the visit in the Electronic Medical Record (EMR).
  • Record Vital Signs(blood pressure, pulse, temperature) and measurements of height and weight, in the EMR.
  • Assist the physician with special procedures and physical exams.
  • Schedule ancillary services and other procedures as needed.
  • Maintain the patient charts and scan documents into the EMR.
  • Ensure patient results and correspondences are reviewed in a timely manner by the physician and appropriate according to the physician’s orders.
  • Maintain an adequate supply of inventory in each of the exam room while ensuring the cleanliness of the examination rooms.
  • Maintain the organization of the sample medication closet.
  • Ensure HIPAA guidelines are followed.
  • Cross train to provide coverage for the office as needed.

city: Commack

General Purpose :

Responsible for the daily coordination of the clinical aspects of the medical office practice to ensure the highest level of patient care.

  • Place patients in the examination rooms and document for the physician the medication log , vitals and the main reason for the visit in the Electronic Medical Record (EMR).
  • Record Vital Signs(blood pressure, pulse, temperature) and measurements of height and weight, in the EMR.
  • Assist the physician with special procedures and physical exams.
  • Schedule ancillary services and other procedures as needed.
  • Maintain the patient charts and scan documents into the EMR.
  • Ensure patient results and correspondences are reviewed in a timely manner by the physician and appropriate according to the physician’s orders.
  • Maintain an adequate supply of inventory in each of the exam room while ensuring the cleanliness of the examination rooms.
  • Maintain the organization of the sample medication closet.
  • Ensure HIPAA guidelines are followed.
  • Cross train to provide coverage for the office as needed.

Medical Biller – Island Fertility Job – NY, Commack

Job Summary:

The Medical Biller is a key member of the revenue cycle team. The biller participates in the data entry of billing information to ensure accurate and timely billing submissions.

  • Review and compare provider office schedules to electronic charge batches.
  • Approve charges for claim release
  • Report missing charges/documentation to supervisor and/or provider
  • Manual charge posting as needed for hospital, SNF, etc.
  • Review and/or work edit work files and send to appropriate party for coding review, physician review or supervisor review in a timely manner.
  • Update patient demographic and insurance information when needed
  • Answer incoming patient, provider and insurance calls
  • Review automated eligibility files and run manual eligibility as needed to confirm insurance coverage
  • Update patient accounts with collection agency activity
  • Provide weekly updates to supervisors on all services and issues
  • Must be able to recognize and establish priorities and provide coverage of other areas as necessary
  • Must understand and uphold HIPAA regulations
  • Must communicate effectively and professionally through written correspondence and personal conversations

city: Commack

Job Summary:

The Medical Biller is a key member of the revenue cycle team. The biller participates in the data entry of billing information to ensure accurate and timely billing submissions.

  • Review and compare provider office schedules to electronic charge batches.
  • Approve charges for claim release
  • Report missing charges/documentation to supervisor and/or provider
  • Manual charge posting as needed for hospital, SNF, etc.
  • Review and/or work edit work files and send to appropriate party for coding review, physician review or supervisor review in a timely manner.
  • Update patient demographic and insurance information when needed
  • Answer incoming patient, provider and insurance calls
  • Review automated eligibility files and run manual eligibility as needed to confirm insurance coverage
  • Update patient accounts with collection agency activity
  • Provide weekly updates to supervisors on all services and issues
  • Must be able to recognize and establish priorities and provide coverage of other areas as necessary
  • Must understand and uphold HIPAA regulations
  • Must communicate effectively and professionally through written correspondence and personal conversations

Authorization/Referral Specialist Job – NY, Commack

JOB SUMMARY:

The Authorization/Referral specialist works , as a liaison between the physician and the patient. The position interfaces with physicians, patients, and administrative personnel and answers phone calls, responds to fax and email communication and routes messages accordingly. The focus of the position is to obtain prior authorizations for medications and/or procedures.

JOB RESPONSIBILITES:

  • Obtains authorizations for ancillary tests and medical procedures.

  • Responsible for coordinating and processing of all patient referrals including specialty and ancillary services.

  • Utilizes a high degree of accuracy in obtaining and verifying that registration, demographic and insurance information is correct and up to date.

  • Acts as liaison between the MSO and other healthcare providers while exhibiting a high level of customer service skills.

  • Performs eligibility checks on members as necessary by telephone or electronically.

  • Follows procedures for proper authorization and processing of all referral services.

  • Supports physicians and patients in synchronizing appointments, authorizations and tests taking place in different practices.

  • Communicates with patient and practice to ensure follow through with referrals.

  • Ensures strict confidentiality of all health records, member information and follows HIPAA guidelines.

  • Completes all administrative functions related with referral activities in an efficient manner.

  • Enters all referral hospital, outpatient and other patient specialty health service authorizations into the EMR and practice management system.

  • Responsible for monitoring all referral reports not received and follow up in a timely manner.

  • Performs duties in honest and ethical manner.

  • Perform other duties as assigned.

city: Commack

JOB SUMMARY:

The Authorization/Referral specialist works , as a liaison between the physician and the patient. The position interfaces with physicians, patients, and administrative personnel and answers phone calls, responds to fax and email communication and routes messages accordingly. The focus of the position is to obtain prior authorizations for medications and/or procedures.

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JOB RESPONSIBILITES:

  • Obtains authorizations for ancillary tests and medical procedures.

  • Responsible for coordinating and processing of all patient referrals including specialty and ancillary services.

  • Utilizes a high degree of accuracy in obtaining and verifying that registration, demographic and insurance information is correct and up to date.

  • Acts as liaison between the MSO and other healthcare providers while exhibiting a high level of customer service skills.

  • Performs eligibility checks on members as necessary by telephone or electronically.

  • Follows procedures for proper authorization and processing of all referral services.

  • Supports physicians and patients in synchronizing appointments, authorizations and tests taking place in different practices.

  • Communicates with patient and practice to ensure follow through with referrals.

  • Ensures strict confidentiality of all health records, member information and follows HIPAA guidelines.

  • Completes all administrative functions related with referral activities in an efficient manner.

  • Enters all referral hospital, outpatient and other patient specialty health service authorizations into the EMR and practice management system.

  • Responsible for monitoring all referral reports not received and follow up in a timely manner.

  • Performs duties in honest and ethical manner.

  • Perform other duties as assigned.

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