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Casa Grande

    patient care specialist - Casa Grande, United States - Sun Life Health

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    Description
    Job Details

    Job Location
    PALM CENTER OBGYN - CASA GRANDE, AZ

    Position Type
    Full-time

    Job Shift
    8:00am-5:00pm Monday-Friday

    Description

    STATEMENT OF PURPOSE:

    The patient care specialist facilitates all aspects of patient activities as a collaborative effort across the heath care continuum. The patient care specialist will ensure that our patients receive the appropriate in-house testing and follow up as recommended by the Center for Women providers. This patient-centered approach will allow for a centralized approach to meeting our patients' needs.

    ESSENTIAL FUNCTIONS:
    • Obtain authorization for in-office testing (i.e. ultrasounds and non-stress tests) by contacting the appropriate insurance carrier, communicating the provider's instructions, and transmitting information as needed to obtain authorization
    • Communicate with and schedule patient once authorization is received for in-office testing
    • Clearly document patient services as related to insurance approvals and patient communications in appropriate location in Sun Life's EHR
    • Track pending authorizations and patients that have yet to be scheduled as to ensure all tasks are completed for each patient in a timely manner
    • Facilitate rescheduling of testing as needed by patients
    • Review, contact, and reschedule no shows for testing with appropriate documentation
    • Enter orders so the testing reports can be reviewed by the provider efficiently
    • Maintain a cooperative relationship among health care teams by compiling statistics, communicating information, responding to requests, building rapport and participating in problem-solving methods
    • Refer patient to Outreach department if eligibility for sliding fee is identified or if a change in payor source is identified to align resources with patient and population needs
    • Run reports monthly to confirm patient appointments
    • Make use of eCW registry reporting to track all high-risk patients to maintain quality and reduce gaps in care
    • Manage MFM Referrals
    • Place ultrasound orders
    • Attach ultrasound reports to patient's chart eCW.
    • Any other tasks designated by supervisor
    Qualifications

    EDUCATION AND EXPERIENCE:
    • High School Diploma or equivalency preferred
    • Experience as a receptionist in a health care setting preferred


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