OFFICE SPECIALIST - HYPERBARIC

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Job description

Overview:
Your Career. Our Company. Together, We Grow.

At Southern Illinois Healthcare (SIH), we realize that in order to provide our surrounding communities with excellent care, we must begin by providing our employees with that same care and appreciation. We offer rich opportunities to develop and grow professionally, an environment of excellence in patient care, and the awareness that everything we accomplish is a direct outgrowth of the superb efforts and dedication of our employees.

As a non-profit system of almost 4000 employees in Carbondale, IL, we have won national acclaim for our cancer, cardiac, stroke, bariatric, breast imaging, and rehabilitation services.

Responsible for performing duties to support patient care, efficient organization, compliance and viability of the Hyperbaric / Wound Care department operations. This includes patient intake, prior authorization, referrals, scheduling, follow-up, and clerical duties required to adequately communicate to providers and patients as well as promote the services available.

Responsibilities:
Performs Patient Intake processes for Hyperbaric/ Wound Care service line.

Manages all aspects of appointment scheduling, patient transportation, appointment reminders / follow-up phone calls, no show letters and reporting of cancellations through appropriate channels / reporting structures.

Monitors EPIC prior authorization and referrals work queues daily

Identify and prioritize urgent and emergency prior authorizations and referral consultation requests

Checks chart for relevant referral/prior authorization information and shares with appropriate insurance provider or referring office provider within 48 hours of appointment

Call or submit online request to insurance providers for prior authorizations

Communicates effectively with patients, provider staff and insurance providers by telephone

Follow through on referrals and prior authorizations to completion/resolution in a timely fashion

Validates information for a prior authorization or referral request and follows-up with providers office regarding missing CPT codes or missing chart documentation

Collaborates with staff to identify workflow problems and identify solutions

Prepare all documentation to be scanned in to EPIC, including uploading of pictures.

Manage and update iHeal of all scheduled meetings, staffing, provider information and referral information for marketing purposes.

Maintain departmental supplies and update GEMBA board.

Print and assemble marketing materials.

Complete tasks in assigned billing/financial work queues.

Must be able to float between locations when necessary.

Qualifications:
High School diploma

Technical Experience: 1 year of office experience required and 1 year Hyperbaric experience preferred or 1 year insurance prior-authorization experience.

Effective and excellent communication skills

#PIQMedGrp

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