What are the responsibilities and job description for the Records and Pre-Certification Specialist position at Health Star Clinic?
We are a fast paced high volume Chiropractic office who has been family owned for 20 years. We are well known in the Montgomery and surrounding areas for our compassionate staff and excellent customer service. We are looking to add an all-star team player to the team! Experience is highly preferred but not necessarily required. References are REQUIRED. You can include references with your submission or email them to montgomery@healthstarclinic.com.
Once we check your references we will call you for a phone interview. If you are chosen as a top qualifying candidate for the job, you will then be asked to come for an in person interview with Dr. Cobb.
JOB DESCRIPTION AND REQUIREMENTS:
- Handles and keeps track of patients who need pre-certification, prior authorization, and/or referral from another provider to begin and/or maintain their care at our office according to the office protocol, systems, and procedures.
- Makes necessary calls/portal submissions/etc. to obtain authorizations needed.
- Notify scheduling department once authorizations are received.
- Handling VA authorizations according to office protocol
- Completing and tracking VA authorization visit status and number of visits according to protocol.
- Ensuring that authorizations go into patient electronic charts and are available to the billing department according to office protocol.
- Creating memos for scheduling department to be notified when patient auth's are received and need to be scheduled
- Following follow up protocol for authorizations that cannot be obtained immediately=
- Handling records requests according to office protocol
- Following HIPPAA guidelines for record keeping and sharing of sensitive patient data and information.
- Answering questions that the billing department has about prior authorizations, pre-certification's, Veterans care, referrals etc.
- Pulling x-ray reports from email and uploading to patient charts
- Handling all patient requests for records and/or statements
- Verify and Secure Attorney LOP's for Patient's that have had an accident.
