Summary

Responsible for maintaining flow of patient information to all departments and agencies, including physician orders, verification of insurance status, certificates of medical necessities (CMNs), prior authorizations (PARs) and coordination of home medical equipment (HME) services. Provides customer-centered service to inquiries from potential and actual customers, both internal and external. Responsible for clerical duties to include data entry. Models appropriate behavior as exemplified in The Methodist Mission, Vision and Values.

Education/Experience/Licensure

Knowledge/Skills/Abilities

• Ability to apply problem solving techniques to assess and interpret medical records to a degree that would support independent work and possess excellent communication skills.

• Good customer service skills.

• Ability to handle stressful and emotional situations in relationship to patients in acute distress, physicians, or families of dying patients.

• Ability to work without close supervision and to exercise independent judgement.

• Ability to set priorities, coordinate multiple tasks, organize tasks, maintain workflow, and prepare complex written materials.

• Proficiency in database management and word processing.

• Knowledge of third party payors as acquired through job experience with insurance customer service or billing.

Key Job Responsibilities

• Receives referral for services and processes orders from physicians and customers.

• Offers assistance to patients, patients' families, customers, physicians, and other referral sources that are inquiring.

• Communicates current patient information to appropriate departments and coordinates orders that have been received from referral sources.

• Assists individuals with problems, questions, and concerns regarding programs and services available through HME.

Physical Requirements

• The physical activities of this position may include climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping, and repetitive motion.

• Must have good balance and coordination.

• The physical requirements of this position are light work - exerting up to 25 lbs. of force occasionally and/or up to 10 lbs. of force frequently.

• The Associate is required to have close visual acuity to perform an activity, such as preparing and analyzing data and figures; transcribing; viewing a computer terminal; or extensive reading.

• The conditions to which the Associate will be subject in this position: The Associate is not substantially exposed to adverse environmental conditions; job functions are typically performed under conditions such as those found in general office or administrative work.

• Must have transportation to deliver care in the home setting.