PRECERT SPECIALIST

Essential functions:

The Precert Specialist reports to their supervisor and Physician. This position requires hard work and dedication.

Duties:

• Answer patient calls with the ability to help resolve any issues that may arise.
• Carry out secretary duties such as filing, typing, scanning efficiently.
• Schedule any test ordered by the physician and assuring the authorization is taken care of (i.e. CT scans, MRI’s, Bone Scans, Venous Doppler Ultrasound, Special scans, Synovasure).
• Schedule any surgery or procedure ordered by the physician, which consist of obtaining patient consent, scheduling in the physician’s surgery book, scheduling in the physician’s outlook calendar if he desires, scheduling in the computer, scheduling with the outlying facility, obtaining any presurgical clearance with the patient’s cardiologist or primary care physician.
• Addressing all faxes such as Physical therapy requests, Home Health, Correspondence, etc.
• Learning the appropriate CPT codes to assist with the surgery charges and authorizations. You will need to learn to properly code surgeries, turn the billing into the insurance department as well as register new patients which were obtained on call.
• Authorizing insurance for surgery, test, WC, Botox, Iovera, etc. (learning the insurances).
• Chart auditing.
• Completing disability forms
• Ensuring your physician’s schedule is accurate based on his preferences.
• Ensuring patient has all clearances, labs, xrays required for surgery. Making sure the outlying facility has all of this information including the clearance in a timely manner so that the patient does not have to be delayed or repeat any unnecessary testing.
• Scheduling appointments which could include return patients or new patients. You will have a lot of calls sent to you to handle.
• Handling medication calls/refills is deemed necessary by your doctor.
• Dispense and order medications for worker’s compensation patients with appropriate paperwork.
• Scheduling of any depositions for your physician as well as securing the payment and proper documentation needed for such. Some physicians receive deposition payments directly which are not ran through the MSO.
• Developing a good rapport with the outlying facilities to ensure a smooth transition for your physician.
• Willingness to help your fellow teammates and volunteer your help when needed.
• Willingness to cross train for other jobs within the company to improve your knowledge and skills.
• Eagerly accept any other job duty that is required of you as deemed necessary.

Interpersonal relations:

• Maintain positive interpersonal relations in dealing with patients, patients’ families, coworkers, physicians, and visitors in a confidential manager.
• Share information appropriately and in a timely manner.
• Presents a positive image for the clinic.
• Always present self in a professional manner.
• Works as part of a team.
• Works to always improve customer satisfaction.

Performance standards:

• Maintain quality of service during periods of increased or decreased patient load.
• Anticipate needs and complete tasks without being prompted.
• Participate in activities which identify opportunities for improvement.
• Arrange coverage or back-up when it is necessary to be away from the work area and ensure that any substitute is properly trained on standards.
• Plan and complete assigned activities in an organized and efficient manner.
• Participate in professional development activities.
• Ability to type efficiently, Medical terminology, Organizational skills, Multi-tasking capabilities, Time management skills.

Skills/Abilities:

• Skills in developing and working within a team environment.
• Ability to prioritize and maintain composure in stressful situations.
• History of longevity and reliability in employment.
• Strong communication skills, including oral and written.
• Strong computer skills.
• Problem solving ability.

Experience

Required

• 1 year(s): Precert experience

Education

Required

• High School or better

Behaviors

Required

• Dedicated: Devoted to a task or purpose with loyalty or integrity
• Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well

Motivations

Required

• Goal Completion: Inspired to perform well by the completion of tasks