We have an exciting opportunity to join our team as a Ophthalmology Care Assistant.
In this role, the successful candidate provides front desk support, clinical intake and phone services. Facilitates with post-visit inter-departmental scheduling for patient visits, treatments, and procedures in collaboration with other areas within the Medical Center.
Assists with pre-authorizations / certifications for treatments and diagnostic procedures as appropriate. Provides Ophthalmic testing support to assist physicians and Techs.
Job Responsibilities :
- Performs various ophthalmic tests as directed by physicians.
- Performs other related duties as needed by providers and supervisors.
- Collaborates with other areas of the Medical Center as well as Insurance providers to assist in obtaining pre-authorizations / certifications for treatments and diagnostic procedures, and ensures patient is eligible at the time of their appointment.
- Post patient appointment - coordinates inter-departmental scheduling for specialist visits, scans and procedures in accordance with insurance coverage, in compliance with physician directives.
- Maintains and receives files for area. Maintains files in organized and up-to-date manner in order to facilitate their retrieval.
Completes filing in accordance with departmental procedures. Sorts and distributes documents and forms for area section.
Distributes materials according to content of communications and departmental procedures. Logs in materials with respect to time and data when applicable.
Processes incoming and outgoing documents. Completes forms neatly. Secures appropriate signatures and forwards documents / forms to correct destination based on pertinent Medical Center procedures.
Maintains copy for files. Faxes documents in accordance with departmental procedures.
- Answers patient questions to ensure understanding and patient satisfaction, or refers them to more senior level staff. Maintains confidentiality on matters to which they are privileged.
- Types routine material such as forms and letters, envelopes, etc. Types materials neatly, accurately and according to instructions.
Writes materials clearly and legibly.
- Maintains cooperative and professional relationships with physicians, nurses and office and clinical staff.
- Refers patients who have a question regarding insurance coverage or are in need of counsel on financial matters based on established criteria (, denial of electronic insurance eligibility, ABN questions / concerns, questions regarding insurance or pay-or restrictions, making payment, multiplan determinations, any and all issues / questions / concerns relating to financial matters) to the Business Office Associate.
- Scan all necessary documents (insurance cards, lab requisitions, etc.) into the intake system.
- Assists with patient check-in and check-out. Gathers all patient demographic related data and materials from patients and / or their representatives.
Obtains insurance information (ID card, member / group #s, etc.), verifies insurance eligibility electronically, takes their picture and asks them to use Patient Secure.
On subsequent visits, asks them to verify demographic info and makes any necessary edits. Collect and ask patients to sign patient related documents including HIPAA, MSPQ, ABN, etc.
Follow up with patients and / or their representatives, physician offices, etc. to gather missing data and materials in order to complete the intake process, or refers to more senior level staff.
Responsible for taking patient phone calls and scheduling over the phone. Greets and screens telephone calls in a pleasant and professional manner.
Schedules appointments for visits, procedures and follow-ups. Collects patient demographic related data, electronically verifies insurance eligibility, coordinates pre-authorizations as appropriate, takes medical history, and assigns appointment to Physician based on procedure and insurance coverage.
Provides reception assistance ( greet patients, answer calls, requests for assistance are directed to proper individual, etc.
Screens telephone callers in pleasant and a professional manner; handles call; take messages or directs caller to appropriate person or area.
- Maintains supplies and cleanliness of space, restocks supplies as needed. Notifies supervisor of any shortage of supplies.
- Applies drops to anesthetize, dilate, or medicate eyes.
Minimum Qualifications :
To qualify you must have a High School Diploma Required. One year of relevant medical clerical experience required. Knowledge of medical terminology.
Excellent organizational, interpersonal and verbal and written communications skills and strong customer service orientation required.
Basic knowledge of word processing, spreadsheet, database and Internet applications required. Light, accurate keyboarding skills required.
Ability to complete multiple tasks efficiently and thrive in a team work environment.
Preferred Qualifications :
Experience in Ophthalmology setting. Experience with ophthalmic testing.
Qualified candidates must be able to effectively communicate with all levels of the organization.