Summary
The Patient Care Specialist (PCS) facilitates an excellent patient experience and supports clinic operations based on expert or specialized knowledge for the assigned prosthetics and/or orthotics medical practice. Primary responsibilities include greeting and registering patients, compiling complete chart documentation, and supporting clinical and technical staff.
Essential Functions
Answers the telephone and either responds to inquiry, directs caller to appropriate personnel, or initiates a triage email for response by clinical personnel.
Schedules appointments, verifies and updates patient demographics, referral source and insurance information in the Electronic Medical Record (EMR). Obtains copies of insurance cards, drivers' licenses and other documentation from referral sources and scans relevant items into the EMR.
Maintains complete patient records in the EMR per company policies.
Initiates documentation requests from physicians and other healthcare providers and ensures information is included as part of the patient's medical record prior to product delivery and claim submission.
Verifies patient insurance benefits, relays information on relevant payment and billing/collection policies and collects patient responsibility payments.
Maintains a clean, orderly and safe environment for patients and visitors. Follows infection control/safety procedures by adhering to applicable guidelines. Takes patient height, weight and reviews relevant medical history with patient. Prepares treatment rooms and patient care areas.
Provides administrative support to the practice as needed. Strives for a paperless work environment and full-utilization of technology‐based processes to drive operational efficiencies.
Assists in marketing efforts to build relationships with local referral sources.
Maintains professional relationships with patients, referral sources, clinical and non-clinical employees. Maintains product and administrative technical knowledge by actively participating in ongoing training and development courses.
Carries out analysis of administrative support needs based on current clinic work in progress knowledge.
May obtain prior authorization as required by payer.
May assist in manually pricing items, based on insurance guidelines.
May provide administrative guidance of insurance coverage based on interpretation of LCDs and payer medical policies.
May support more junior peers with some work.
Performs other duties as assigned.
Competencies
Ethical Conduct
Problem Solving/Analysis
Communication Proficiency
Computer Proficiency
Demonstrates excellent interpersonal skills with the ability to interface with patients, physicians, and coworkers in a tactful, informed and service‐oriented manner.
Detailed oriented.
Work Environment
This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.
Physical Demands
The employee is regularly required to talk or hear. The employee frequently is required to stand; walk; use hands to finger, handle or feel; and reach/pull with hands and arms, bend and squat.
Qualifications
High school diploma or GED equivalent is required.
Minimum of 3 years of medical office experience using EMR systems or equivalent job complexity.
Experience working in the healthcare industry preferred.
ForMotion is a global network of Orthotic & Prosthetic patient care clinics providing exceptional care through award-winning mobility solutions and world-class healthcare professionals.
Embla Medical is an equal opportunity employer and makes employment decisions on the basis of merit. We want to have the best available individual in every job.
Embla Medical's equal opportunity policy prohibits all discrimination (based on race, color, creed, sex, religion, marital status, age, national origin or ancestry, physical disability, mental disability, military service, pregnancy, child birth or related medical condition, actual or perceived sexual orientation, or any other consideration made unlawful by local laws around the world).
Embla Medical is committed to complying with all applicable laws providing equal employment opportunities. This commitment applies to all individuals involved in the operations of Embla Medical and prohibits discrimination by any employee of Embla Medical, including supervisors and co-workers.
Important Warning: Beware of fraudulent recruiters impersonating our company. Please take extra caution when asked for any sensitive personal information, such as social security numbers or bank account details. We will never ask you for any form of payment during the recruitment process. Please make sure you refer to our official website.