Nuclear Medicine Technologist – PET/CT Job – NY, East Setauket

Job Summary:

The Nuclear Medicine Technologist (NMT) is responsible for high quality image acquisition, processing and enhancement for the physicians interpretation.The NMT orders the isotopes, as well as the logging in of all isotopes to be used for each day. Prepare and administer radiopharmaceuticals. The NMT performs quality control of all equipment. (Dose Calibrator, SPECT and PET Cameras, Well Counter, GM meter, etc.) Will perform QC wipe test, area surveys for possible contamination with RaRx, waste disposal and any other duties assigned by the Nuclear Medicine Supervisor/Technical Director.

city: Setauket

Job Summary:

The Nuclear Medicine Technologist (NMT) is responsible for high quality image acquisition, processing and enhancement for the physicians? interpretation.The NMT orders the isotopes, as well as the logging in of all isotopes to be used for each day. Prepare and administer radiopharmaceuticals. The NMT performs quality control of all equipment. (Dose Calibrator, SPECT and PET Cameras, Well Counter, GM meter, etc.) Will perform QC wipe test, area surveys for possible contamination with RaRx, waste disposal and any other duties assigned by the Nuclear Medicine Supervisor/Technical Director.

Echo Cardiac Sonographer- North Suffolk Cardiology Job – NY, East Setauket

ECHO CARDIAC SONOGRAPHER

We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.

JOB SUMMARY:

Fast paced, large cardiology practice with multiple locations. The applicant should have 1 year minimum of cardiac experience. Certified RDCS or RCS required. Obtainment of RVT or RVS credential within one year of hiring required.

  • Candidate for this position will perform diagnostic ultrasound imaging procedures, primarily echocardiograms and carotid duplex. Working knowledge of additional studies performed within our practice (venous, aortoiliac, arterial, and renal ultrasound) is helpful.
  • Must have the ability to interpret and analyze exams, following protocols to provide a preliminary report of findings to the physician
  • Will have an independent schedule and should be familiar with day-to-day operations.

city: Setauket

ECHO CARDIAC SONOGRAPHER

We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.

JOB SUMMARY:

Fast paced, large cardiology practice with multiple locations. The applicant should have 1 year minimum of cardiac experience. Certified RDCS or RCS required. Obtainment of RVT or RVS credential within one year of hiring required.

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  • Candidate for this position will perform diagnostic ultrasound imaging procedures, primarily echocardiograms and carotid duplex. Working knowledge of additional studies performed within our practice (venous, aortoiliac, arterial, and renal ultrasound) is helpful.
  • Must have the ability to interpret and analyze exams, following protocols to provide a preliminary report of findings to the physician
  • Will have an independent schedule and should be familiar with day-to-day operations.

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Medical Assistant Job – NY, East Setauket

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, take EKGs
  • 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
  • Follow HIPAA guidelines
  • Other duties as necessary

city: Setauket

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, take EKGs
  • 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
  • Follow HIPAA guidelines
  • Other duties as necessary

Medical Coder Job – NY, Commack

Under general supervision, reviews, analyzes and assures the final diagnoses and procedures as stated by the practicing providers are valid and complete. Accurately codes office and hospital procedures for providers to ensure proper reimbursement. Provides education to the providers to ensure proper documentation and assignment of ICD-10-CDM, HCPCS and CPT codes. Reports to the Coding Operations Manager.

Responsibilities:

    • Audits records to ensure proper submission of services prior to billing on pre-determined selected charges.
    • Receives hospital information to properly bill provider services for hospital patients.
    • Supplies correct ICD-10-CM diagnosis codes on all diagnoses provided.
    • Supplies correct HCPCS code on all procedures and services performed.
    • Supplies correct CPT code on all procedures and services performed.
    • Contacts providers to train and update them with correct coding information.
    • Attends seminars and in-services as required to remain current on coding issues.
    • Audits medical records to ensure proper coding is completed and to ensure compliance with federal and state regulatory bodies.
    • Accurately follows coding guidelines and legal requirements to ensure compliance with federal and state regulatory bodies.
    • Maintains all mandatory in-services.
    • Maintains compliance standards in accordance with the Compliance policies. Reports compliance problems appropriately.
    • Determines the final diagnoses and procedures stated by the physician or other health care providers are valid and complete.
    • Quantitative analysis – Performs a comprehensive review for the record to assure the presence of all component parts such as: patient and record identification, signatures and dates where required, and all other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered.

    • Qualitative analysis – Evaluates the record for documentation consistency and adequacy. Ensures that the final diagnosis accurately reflects the care and treatment rendered. Reviews the records for compliance with established reimbursement and special screening criteria.
    • Analyzes provider documentation to assure the appropriate Evaluation & Management (E&M) levels are assigned using the correct CPT code
    • Reviews department edits in billing software and make any corrections based on supported documentation and medical necessary.
    • Performs other related duties, which may be inclusive, but not listed in the job description.

city: Commack

Under general supervision, reviews, analyzes and assures the final diagnoses and procedures as stated by the practicing providers are valid and complete. Accurately codes office and hospital procedures for providers to ensure proper reimbursement. Provides education to the providers to ensure proper documentation and assignment of ICD-10-CDM, HCPCS and CPT codes. Reports to the Coding Operations Manager.

Responsibilities:

    • Audits records to ensure proper submission of services prior to billing on pre-determined selected charges.
    • Receives hospital information to properly bill provider services for hospital patients.
    • Supplies correct ICD-10-CM diagnosis codes on all diagnoses provided.
    • Supplies correct HCPCS code on all procedures and services performed.
    • Supplies correct CPT code on all procedures and services performed.
    • Contacts providers to train and update them with correct coding information.
    • Attends seminars and in-services as required to remain current on coding issues.
    • Audits medical records to ensure proper coding is completed and to ensure compliance with federal and state regulatory bodies.
    • Accurately follows coding guidelines and legal requirements to ensure compliance with federal and state regulatory bodies.
    • Maintains all mandatory in-services.
    • Maintains compliance standards in accordance with the Compliance policies. Reports compliance problems appropriately.
    • Determines the final diagnoses and procedures stated by the physician or other health care providers are valid and complete.
    • Quantitative analysis – Performs a comprehensive review for the record to assure the presence of all component parts such as: patient and record identification, signatures and dates where required, and all other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered.

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    • Qualitative analysis – Evaluates the record for documentation consistency and adequacy. Ensures that the final diagnosis accurately reflects the care and treatment rendered. Reviews the records for compliance with established reimbursement and special screening criteria.
    • Analyzes provider documentation to assure the appropriate Evaluation & Management (E&M) levels are assigned using the correct CPT code
    • Reviews department edits in billing software and make any corrections based on supported documentation and medical necessary.
    • Performs other related duties, which may be inclusive, but not listed in the job description.

Hospitalist – OB/GYN Job – New York, Smithtown

The Division of General Obstetrics & Gynecology at Stony Brook Medicine is recruiting a full-time Hospitalist to join a busy academic practice with an established history of excellence. Responsibilities include labor management of low-risk deliveries at our Stony Brook Southampton Hospital, coverage of inpatient obstetrics & gynecology services at Stony Brook University Hospital, and education of medical students and residents. This is a great opportunity to join a dynamic department with career opportunities in education, quality, simulation, and research.

The Department encompasses faculty in each of the recognized specialties, an accredited Residency program, an accredited Fellowship in Maternal Fetal Medicine and Minimally Invasive and Robotic Surgery, as well as a Fellowship for Academic Specialists in General Obstetrics and Gynecology.

Stony Brook University Hospital is the tertiary care center for Suffolk County, the Regional Trauma Center, and the Regional Perinatal Center, with over 4200 deliveries per year. It is a 603-bed hospital that is in the process of a $500 million expansion, with a new Children’s Hospital and a 500,000-square-foot clinical and research space.

Stony Brook Southampton Hospital serves a diverse population in the heart of Long Island’s east end. The hospital has access to all specialties, does 900 deliveries a year with a level 2 NICU, and is closely integrated with Stony Brook University Hospital.

 

JOB RESPONSIBILITES:

  • Provides health care to patients including diagnosis and treatment as team leader.
  • Obtains medical histories, performs physical examinations, and makes diagnosis, and orders appropriate, standard laboratory and diagnostic procedures as necessary.
  • Evaluates procedure results. Provides preventative as well as acute care.
  • Provides continuity of care by developing and implementing patients’ plan of care.
  • Provides patient education about underlying medical condition, self-management of acute or chronic illnesses and tailors instructions to patients’ individual circumstances.
  • Instructs and counsels patients regarding therapeutic regimens, promoting wellness and health maintenance.
  • Prescribes medications.
  • Documents exam and progress notes in the Electronic Medical Record. Provides referral letters as needed.
  • Collects, monitors and reports on patient outcomes.
  • Share night and weekend call coverage with other Physicians.
  • Ensure HIPAA guidelines are followed at all times.
  • Responsible for the conduct and care given by other clinical office staff including nurses, medical assistants and technologists. The physician is the head of the clinical team.
  • Responsible for conduct and patient interaction of shadowing medical students, physician extenders and nursing interns.
  • Responsible for meeting quality benchmarks established by Population Health, Payors, NYS DOH or Center for Medicare/Medicaid Services.
  • Follows established evidence based practices and assures good quality patient care.

 

city: Smithtown

The Division of General Obstetrics & Gynecology at Stony Brook Medicine is recruiting a full-time Hospitalist to join a busy academic practice with an established history of excellence. Responsibilities include labor management of low-risk deliveries at our Stony Brook Southampton Hospital, coverage of inpatient obstetrics & gynecology services at Stony Brook University Hospital, and education of medical students and residents. This is a great opportunity to join a dynamic department with career opportunities in education, quality, simulation, and research.

The Department encompasses faculty in each of the recognized specialties, an accredited Residency program, an accredited Fellowship in Maternal Fetal Medicine and Minimally Invasive and Robotic Surgery, as well as a Fellowship for Academic Specialists in General Obstetrics and Gynecology.

Stony Brook University Hospital is the tertiary care center for Suffolk County, the Regional Trauma Center, and the Regional Perinatal Center, with over 4200 deliveries per year. It is a 603-bed hospital that is in the process of a $500 million expansion, with a new Children’s Hospital and a 500,000-square-foot clinical and research space.

Stony Brook Southampton Hospital serves a diverse population in the heart of Long Island’s east end. The hospital has access to all specialties, does 900 deliveries a year with a level 2 NICU, and is closely integrated with Stony Brook University Hospital.

 

JOB RESPONSIBILITES:

  • Provides health care to patients including diagnosis and treatment as team leader.
  • Obtains medical histories, performs physical examinations, and makes diagnosis, and orders appropriate, standard laboratory and diagnostic procedures as necessary.
  • Evaluates procedure results. Provides preventative as well as acute care.
  • Provides continuity of care by developing and implementing patients’ plan of care.
  • Provides patient education about underlying medical condition, self-management of acute or chronic illnesses and tailors instructions to patients’ individual circumstances.
  • Instructs and counsels patients regarding therapeutic regimens, promoting wellness and health maintenance.
  • Prescribes medications.
  • Documents exam and progress notes in the Electronic Medical Record. Provides referral letters as needed.
  • Collects, monitors and reports on patient outcomes.
  • Share night and weekend call coverage with other Physicians.
  • Ensure HIPAA guidelines are followed at all times.
  • Responsible for the conduct and care given by other clinical office staff including nurses, medical assistants and technologists. The physician is the head of the clinical team.
  • Responsible for conduct and patient interaction of shadowing medical students, physician extenders and nursing interns.
  • Responsible for meeting quality benchmarks established by Population Health, Payors, NYS DOH or Center for Medicare/Medicaid Services.
  • Follows established evidence based practices and assures good quality patient care.

 

Physician-Reproductive Endocrinologist and Fertility Specialist Job – NY, Commack

We are seeking a board-certified or board eligible Reproductive Endocrinologist and Fertility Specialist to join our growing practice. The ideal candidate will provide comprehensive reproductive healthcare, including the diagnosis and treatment of infertility, hormonal disorders, and other reproductive conditions. This position requires a compassionate and skilled physician dedicated to providing exceptional patient care and contributing to the advancement of reproductive medicine.

Responsibilities:

  • Patient Care:
    • Diagnose and treat infertility in both male and female patients.
    • Perform and interpret diagnostic tests, including hormone level assessments, ultrasound examinations, and semen analysis.
    • Develop and implement individualized treatment plans, including ovulation induction, intrauterine insemination (IUI), and in vitro fertilization (IVF).
    • Provide fertility preservation services, such as egg freezing and sperm banking.
    • Manage patients with reproductive endocrine disorders, such as polycystic ovary syndrome (PCOS), endometriosis, and recurrent pregnancy loss.
    • Provide patient education and counseling regarding fertility options and treatment outcomes.
    • Perform surgical procedures related to reproductive health.
  • Clinical and Administrative Duties:
    • Maintain accurate and up-to-date patient records.
    • Collaborate with other healthcare professionals, including nurses, embryologists, and support staff.
    • Participate in quality improvement initiatives
    • Adhere to all ethical and legal standards of medical practice.
    • Participate in on call rotations as needed.
  • Professional Development:
    • Stay current with the latest advancements in reproductive endocrinology and fertility.
    • Participate in continuing medical education (CME) activities.

city: Commack

We are seeking a board-certified or board eligible Reproductive Endocrinologist and Fertility Specialist to join our growing practice. The ideal candidate will provide comprehensive reproductive healthcare, including the diagnosis and treatment of infertility, hormonal disorders, and other reproductive conditions. This position requires a compassionate and skilled physician dedicated to providing exceptional patient care and contributing to the advancement of reproductive medicine.

Responsibilities:

  • Patient Care:
    • Diagnose and treat infertility in both male and female patients.
    • Perform and interpret diagnostic tests, including hormone level assessments, ultrasound examinations, and semen analysis.
    • Develop and implement individualized treatment plans, including ovulation induction, intrauterine insemination (IUI), and in vitro fertilization (IVF).
    • Provide fertility preservation services, such as egg freezing and sperm banking.
    • Manage patients with reproductive endocrine disorders, such as polycystic ovary syndrome (PCOS), endometriosis, and recurrent pregnancy loss.
    • Provide patient education and counseling regarding fertility options and treatment outcomes.
    • Perform surgical procedures related to reproductive health.
  • Clinical and Administrative Duties:
    • Maintain accurate and up-to-date patient records.
    • Collaborate with other healthcare professionals, including nurses, embryologists, and support staff.
    • Participate in quality improvement initiatives
    • Adhere to all ethical and legal standards of medical practice.
    • Participate in on call rotations as needed.
  • Professional Development:
    • Stay current with the latest advancements in reproductive endocrinology and fertility.
    • Participate in continuing medical education (CME) activities.

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

Lead Medical Biller Job – NY, Commack

Job Summary:

The role of a Medical Billing Lead is to ensure the practice is correctly representing the services they are providing patients to the insurance company for the purpose of reimbursement. The Lead Biller will continue to perform authorization duties. They are required to ensure all edits from within IDX have been corrected. Consistent communication with the Billing Supervisor and Practice Administrator is expected so all parties have the most up-to-date information. They are to assist the billing supervisor and disperse work to Island Fertility Finance teams. They need to be honest, detailed oriented and efficient..

Must be proficient in Essential Daily Biller Job Functions:

  • Charge entry
    • Practice standard is to be no more than 24-48 hours behind on sending out charges.
  • Address and fix all edits from IDX
  • Sperm Cryo Authorizations
  • OB Sono Authorizations

In addition, must be able to:

  • Assist Billing Supervisor with Department Review Inquires
    • Requiring a deep understanding of:
      • Billable fertility diagnostic and treatment cycles
      • Coding
      • Insurance Policies
      • Insurance Billing rules
  • Understand eIVFs billing module:
    • CPT and ICD10 management
    • CPT price management
    • Chain of command for interface

To be completed Weekly:

  • Meetings with Billing Supervisor and IF Practice Administrator
  • Attend meetings with SBAS Staff

city: Commack

Job Summary:

The role of a Medical Billing Lead is to ensure the practice is correctly representing the services they are providing patients to the insurance company for the purpose of reimbursement. The Lead Biller will continue to perform authorization duties. They are required to ensure all edits from within IDX have been corrected. Consistent communication with the Billing Supervisor and Practice Administrator is expected so all parties have the most up-to-date information. They are to assist the billing supervisor and disperse work to Island Fertility Finance teams. They need to be honest, detailed oriented and efficient..

Must be proficient in Essential Daily Biller Job Functions:

  • Charge entry
    • Practice standard is to be no more than 24-48 hours behind on sending out charges.
  • Address and fix all edits from IDX
  • Sperm Cryo Authorizations
  • OB Sono Authorizations

In addition, must be able to:

  • Assist Billing Supervisor with Department Review Inquires
    • Requiring a deep understanding of:
      • Billable fertility diagnostic and treatment cycles
      • Coding
      • Insurance Policies
      • Insurance Billing rules
  • Understand eIVF’s billing module:
    • CPT and ICD10 management
    • CPT price management
    • Chain of command for interface

To be completed Weekly:

  • Meetings with Billing Supervisor and IF Practice Administrator
  • Attend meetings with SBAS Staff

Medical Assistant/Medical Receptionist Job – NY, Smithtown

Responsible for the daily coordination of the clinical aspects of the medical office while collaborating with the front desk scheduling to ensure the highest level of patient satisfaction and care.

Job Responsibilities:

  • Evaluate lead Medical Assistant for need of placing patients in the examination rooms and document for the physician the medication log , vitals and the main reason for the visit in Cerner EMR
  • Perform screening and measuring procedures according to protocol. This may include, but is not limited to height, weight, blood pressure, pulse, temperature, EKG. Record findings in the electronic medical record (EMR) Cerner system. Record pharmacy information for each patient for E-Prescribing.
  • Assist the Lead Medical Assistant with flow of the physician to comply with schedule
  • Draw blood when necessary. Copy patient insurance card to attach to requisition.
  • Maintain room cleanliness.
  • Assist in obtaining radiology reports, assessment reports and or outside physician documentation..
  • Schedule ancillary services and other procedures as needed.
  • Maintain, scan patient charts into EMR
  • Call in renewal of prescriptions as directed by Physician. Review with physician for any changes needed.
  • Secure all medication/needles to be in locked cabinet
  • Ensure patient results and correspondences are reviewed in a timely manner by the physician and appropriate follow up is performed according to the physician’s direction
  • Cover lunch schedules of Medical Assistants
  • Assist in scanning of medical documentation such as EKG, Spirometer, etc.
  • Ensure HIPAA guidelines are followed
  • Necessary cross training to schedule patients for appointments.
  • Front desk intake of patients for registration and exit for appointments

city: Smithtown

Responsible for the daily coordination of the clinical aspects of the medical office while collaborating with the front desk scheduling to ensure the highest level of patient satisfaction and care.

Job Responsibilities:

  • Evaluate lead Medical Assistant for need of placing patients in the examination rooms and document for the physician the medication log , vitals and the main reason for the visit in Cerner EMR
  • Perform screening and measuring procedures according to protocol. This may include, but is not limited to height, weight, blood pressure, pulse, temperature, EKG. Record findings in the electronic medical record (EMR) Cerner system. Record pharmacy information for each patient for E-Prescribing.
  • Assist the Lead Medical Assistant with flow of the physician to comply with schedule
  • Draw blood when necessary. Copy patient insurance card to attach to requisition.
  • Maintain room cleanliness.
  • Assist in obtaining radiology reports, assessment reports and or outside physician documentation..
  • Schedule ancillary services and other procedures as needed.
  • Maintain, scan patient charts into EMR
  • Call in renewal of prescriptions as directed by Physician. Review with physician for any changes needed.
  • Secure all medication/needles to be in locked cabinet
  • Ensure patient results and correspondences are reviewed in a timely manner by the physician and appropriate follow up is performed according to the physician’s direction
  • Cover lunch schedules of Medical Assistants
  • Assist in scanning of medical documentation such as EKG, Spirometer, etc.
  • Ensure HIPAA guidelines are followed
  • Necessary cross training to schedule patients for appointments.
  • Front desk intake of patients for registration and exit for appointments

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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