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Location: Idaho Falls
Posted on: May 3, 2021

Job Description:

Job DetailsLevelExperiencedJob LocationAdmin 3 - Idaho Falls, IDRemote TypeN/APosition TypeFull TimeEducation LevelHigh SchoolSalary RangeUndisclosedTravel PercentageUndisclosedJob ShiftUndisclosedJob CategoryAdmin - ClericalDescriptionJOB SUMMARY: Coordinates internal and external communications among staff, patients and providers wile providing effective and efficient services to patients. Accurately collects records and ensures distribution to appropriate staff via computer and/or manual systems. Performs clerical and scheduling activities in support ofpatients and staff.DUTIES AND RESPONSIBILITIES:Develops and implements the Medicare (ACO)/QHP Utilization Management program with other professional staff.Oversees Medicare/Commercial payer Quality Health Improvement initiatives, identifies quality of care deficits and assists with developing interventions to ensure treatment.Coordinates geriatric disease management program focuses on approaches to chronic care illnesses and management while emphasizing efficiency and cost effectiveness.Consults with Population Health analyst on member utilization and cost data concerning specialists referrals, pharmacy and chronic illness.Participates with multi-disciplinary work teams to develop and/or implement external disease management and care management programs.Keeps current with CPT and ICD-10 codes and updates and effectively communicates changes to physicians and business office staff.Meet with patient's in-person, via e-mail or via phone to obtain scheduling and related information for referral I in a prompt, pleasant and helpful manner. Schedules referral appointments to include all specialist appointments, surgical appointments, special study appointments, etc. Schedules urgent appointments at the direction of the provider.Confirm appointments with patients, including any special instructions for the appointment as well as ensuring transportation and/or interpreters are scheduled for the patients, if necessary.Verify necessary information and records in the medical record. Ensure the patient's medical record and any diagnostic tests are received and/or sent to specialist's office prior to appointment.Communicate with providers, medicals assistants, admissions staff, and patient financial counselors on any changes or updates to information previously received. Follow and complete Patient Checklist.Accurately enter all referral data into the EHR systems (Altapoint, EZ Scheduler, CPSI, SRS, Greenway, Eclinical, Practice Velocity, ect) and update established patient files, as necessary.Participates in educational programs, in-service meetings and all other meetings as required.Follow up on post referral appointment correspondence with providers, medicals assistants, admissions staff, patient financial counselors and patients regarding results, lab or clinic notes and charts.Provide support to office personnel in the performance of their duties; perform similar and incidental duties as assigned by supervisor.Answers inquiries regarding patient appointments.Maintains patient confidentiality at all times and follows HIPAA.Responsible for knowing hospital policies and being familiar with hospital services. Other Duties as deemed necessary.QualificationsQUALIFICATIONS: Education/Certification: High school diploma or general education degree (GED). Basic course in medical terminology/anatomy preferred. Coding certification with one year of medical coding experience preferred or willing to receive CPC certification within 6 months of hire.Experience: Minimum of one year related experience necessary in order to gain knowledge of scheduling processes and procedures. Minimum one year customer service experience preferred. Minimum six months experience in a medical clinic preferred or sufficient additional education.Equipment/Technology: Ability to use hospital information system, and operate basic computer functions and software.Language/Communication: Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Must have the ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of the organization. Fully shares information and expresses ideas, opinions and reaction constructively. Seeks feedback and gives others constructive feedback.Mathematical Skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Mental Capabilities: Ability to apply common sense to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.Interpersonal: Ability to work well with others.


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