Centralized Scheduling Supervisor bei SYNERGY ORTHOPEDIC SPECIALISTS INC

Description

The Centralized Scheduling Supervisor is responsible for supervising the Call center - Centralized Scheduling team, made up of both Synergy employees and contractors working on behalf of Synergy.

• Schedules appointments for PT, OT, MRI and physicians, per management.
• Pull all faxes from EMR and determine what needs to be sent to the clinic for upload and what is a new referral.
• Enter all new and return patient referrals into an electronic log.
• Call all new patients and patients returning with a new referral to schedule within 4 hours of receipt of referral
• Schedule all new patients within one week or by order of a physician.
• Obtain workers compensation and private insurance authorizations for all therapy and MRI appointments
• Verify all new patient insurance benefits prior to an initial appointment using Insurance Verification Forms for all insurances
• Re-verify insurances when the situation arises and at new year
• Use online portals/call for authorization and/or benefits, call to schedule patient (daily) and document in log
• Document all communications with patients (EMR and log where appropriate.)
• Document all conversations with adjusters, physicians, all
• requests, all authorizations and progress, and all denials in log and EMR.
• Notify the Manager of all denials and communications from the insurance and document appropriately.
• Complete all follow-up phone calls to schedule patients and follow up for authorizations daily.
• Contact a referring physician and upload all paperwork when a patient has been disregarded from the log
• Retrieve messages from voice mail throughout the day
• Answer all incoming calls, manage multiples lines.
• Scan to chart all referrals and paperwork upload into EMR within 24 hours.
• Enter all insurance information of new and return patients into EMR.
• Enter in all co-pays, co-insurance, and authorizations into EMR along with the number of visits authorized or permitted per plan.
• Perform all other duties as assigned by Manager
• Attend all meetings and trainings as required.
• Assists in special projects

Knowledge, Skills, and Abilities

• Knowledge and experience in all aspects of medical billing and revenue cycle management.
• Knowledge of regulations related to Medicare, Medicaid, and commercial insurance.
• Knowledge relating to provider credentialing and onboarding
• Knowledge of HIPAA and labor law
• Strong customer service skills
• Skill in writing policies and procedures
• Skill in using healthcare software and computer systems
• Knowledge of maintaining supplies and equipment for the medical setting.
• Multitasking skills
• Problem-solving skills
• Professional communication and presentation skills, including face to face, email, telephone, and video conference.
• Knowledge of continuous process improvement concepts and practices
• Ability to communicate professionally with clinicians, nurses, allied health staff, administrative staff, frontline staff, contractors, governmental agencies, insurance payers, patients, family members of patients, suppliers, and the general public, of all age levels from child to senior citizen.

Qualifications

• High School Degree
• Bachelor’s Degree in Healthcare or business preferred

Experience

• Minimum of 3 to 7 years in a medical office setting or revenue cycle team

• Two to three years in a supervisory or management position