Order Processing Specialist (634)

Full Time
Greenfield, IN 46140
Posted
Job description

Position Purpose: A nonexempt position responsible for performing a variety of duties including but not limited to physician orders of patients to providers outside of the primary care office. Must navigate, compromise, and negotiate successful tracking and coordination of outside orders. The work includes responsibility for the preparation of specialized departmental documents; significant interpersonal staff and public contact, appropriate and professional conduct, and professional attire, independent judgment, discretion and personal initiative.

PREREQUISITE SKILLS:

  • Knowledge of health care field and medical office protocols/procedures.
  • Knowledge of specific assisting tasks related to particular medical practice.
  • Knowledge of information that must be conveyed to patients and families.
  • Skill in performing operations on Excel database.
  • Skill intact and diplomacy in interpersonal interactions.
  • Skill in understanding patient education needs by effectively sharing information with patients and families.
  • Ability to learn and retain information regarding patient care procedures.
  • Ability to project a pleasant and professional image.
  • Ability to plan, prioritize, and complete delegated tasks.
  • Ability to demonstrate compassion and caring in dealing with others.

Essential Functions:

The following list describes the essential duties of this role. Individuals in this role may not perform all of these duties, or may perform additional, related duties not listed here.

  • Maintain ongoing tracking and appropriate documentation on orders to promote team awareness and ensure patient safety. Maintain an accurate record of orders that are kept, failed and current status. Ensure that referred reports are maintained within the EMR.
  • Ensure complete and accurate registration, including patient demographic and current insurance information.
  • Assemble information concerning patient?s clinical background and referral needs. Per referral guidelines, provide appropriate clinical information to referral office.
  • Contact review organizations and insurance companies to ensure prior approval requirements are met. Present necessary medical information such as history, diagnosis and prognosis. Provide specific medical information to financial services to maximize reimbursement to the hospital and physicians.
  • Assist patients in problem solving potential issues related to the health care system, financial or social barriers. Verify insurance information for referral purposes and process insurance information for referral patients.
  • Ensure that orders are addressed in a timely manner.
  • Answer, respond and document phone calls, requests and questions from patients and/or referral providers in a timely manner. Calls must be accurately managed or redirected as appropriate.
  • Other duties as assigned.

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