Medical Office Specialist

Responsibilities

• Obtain timely authorizations from clients and/or insurance carriers for therapy treatments as prescribed by clinicians
• Utilize the electronic referral module to maintain records for all active referrals of responsibility including detailing referral status, client/insurance/patient correspondence, etc.
• Process referrals utilizing company tools and resources to ensure that referrals are processed appropriately based on state guidelines or client specific direction
• Work with medical and therapy leadership to ensure our medical model is followed as it relates to therapy referrals
• Report any denials or delays to leadership as needed
• Schedule patients according to clinician's referrals without exceeding authorized visits or dates
• Contact patients who miss an appointment and/or report missed appointment to employer
• Document cancelled or rescheduled appointments in the patient's EMR and evaluate cases for closure as inactive
• Perform clerical tasks in both the front and back office associated with patient care and proper record keeping
• Maintain therapy equipment including hydrocollator, freezer, and paraffin and complete corresponding maintenance logs
• Aid in patient flow and volume management, inform patients of wait times, and assist with maintenance and service on therapy equipment
• Follow HIPAA guidelines and safety rules
• Complete reports/logs as assigned by center leadership
• Attend center staff meetings or huddles as required
• Participate in initial and ongoing training as required
• May perform various back office tasks including urine drug screens and breath alcohol tests

Qualifications

• Education Level: High School Diploma or GED
• Job-Related Experience: Customarily has at least six months or more of referral management experience
• Previous medical office experience preferred
• Working knowledge of state-specific occupational medicine requirements preferred
• Skills/Competencies: Concentra Core Competencies of Service Mentality, Attention to Detail, Sense of Urgency, Initiative and Flexibility; Outstanding customer service skills; Ability to handle sensitive and confidential information in accordance with federal and state laws and company policies; Demonstrated effective communication and interaction with employers, patients, providers, and colleagues; Demonstrated ability to maintain working relationships with all levels of colleagues; Intermediate knowledge of Microsoft Office such as Word, Excel, Outlook, and entry of data into various systems/applications; Strong teamwork with peers and center leadership team