Coord, Special Testing Svcs

 

Overview: Obtains and manages any required documentation as required by state or other regulatory entities for designated testing. Required to determine preauthorization, informed consent requirements and other documentation needs from a variety of insurance plans, payers and other governing sources. Handles all payer, physician and patient contact received by telephone and in writing. Troubleshoots both complex medical/technical compliance and routine requests. Deals with the coordination and review of laboratory testing and billing processes. Collaborates with other third-party partners as needed. Responsibilities:

• Handles all client inquiries regarding preauthorization, informed consent requirements and other documentation needs from a variety of insurance plans, payers and other governing sources.
• Coordinates testing in parallel to obtaining proper documentation to comply with all payer requirements.
• Documents reporting or call history in the patient file and maintains appropriate records.

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• Uses established protocols for reporting client concerns.
• May provide technical training to new hires and coach less experienced staff.
• Recognizes quality service issues and provides feedback to appropriate personnel on opportunities for improvement.
• May assist Manager in the delegation of work.
• Has ongoing responsibility for maximizing department quality and productivity by monitoring service levels and minimizing abandoned calls.
• Other duties as required.

Qualifications: QUALIFICATIONS

Required Work Experience:

Demonstrated experience utilizing strong independent problem-solving skills.

Preferred Work Experience:

Medical Billing experience.

Physical and Mental Requirements:

N/A

Knowledge:

• Requires knowledge of the billing and laboratory testing operations.
• Strong understanding of medical terminology required.

Skills:

• Must have strong communication skills.
• Proficiency with Microsoft Office products required (Excel, Word, Powerpoint, etc.)
• Ability to handle complex processes
• Must exhibit comfortable interaction with technical staff including laboratory managers, Medical leaders, and other technical personnel.

EDUCATION
Bachelor’s Degree(Required)

LICENSECERTIFICATIONS

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