OrthoVirginia

ACO Patient Navigator

OrthoVirginia  •  Greenville, TX (Onsite)  •  14 days ago
Expired
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Job Description

POSITION SUMMARY
To support Hunt Regional Medical Partners' multi-specialty practice in a clinical and administrative capacity. Employee will be proficient in all areas of responsibility, with minimal supervision and oversight required
POSITION SUPERVISORY RESPONSIBILITIES
⦁ Reports To: ACO Coordinator, Hunt Regional Outpatient Clinic ACO
⦁ Supervises: None
POSITION REQUIREMENTS
⦁ Minimum Education: High school diploma or equivalent
⦁ Minimum Work Experience: Certified Medical Assistant preferred or at least 3 years experience
⦁ Required Licenses/Certifications
Required Skills, Knowledge, and Abilities: Will possess excellent verbal/communication skills; Possess the ability to resolve conflict; Possess excellent listening skills; Solid Computer Skills; Solid Customer Service Skills; Ability to Multitask; Solid Organization Skills; Experience in Medical Office Environment; Ability to Work in Fast Paced, Busy Environment; Employee must abide by all policies and procedures as outlined by Hunt Regional Medical Partners and Hunt Regional Healthcare
⦁ Preferred Qualification: Certified Medical Assistant preferred or at least 3 years experience
PHYSICAL REQUIREMENTS
Medical Office Environment. Requires prolonged standing and walking. Frequent stooping and/or bending. May involve lifting or positioning of patients. Requires Corrected vision and hearing to normal range. May be exposed to communicable diseases and bodily fluids. Requires the ability to sustain concentration in a noisy and fast paced environment. This position requires a willingness to work well with others and to always demonstrate courtesy, professionalism and compassion.
JOB SPECIFIC FUNCTIONS
1. Demonstrates an understanding of and adherence to the HMHD Compliance Plan.
2. Conduct reflects HMHD's values and a commitment to HMHD's Code of Conduct.
3. Attends the required corporate integrity and compliance training and education programs.
4. Demonstrates proficiency in understanding the materials presented during the corporate integrity and compliance training and education program.
5. Complies with all HIPAA standards.
6. Chart preparation (Review Medicare annual wellness questionnaire and screening questions; Review ADLs; Gather screening information (mammogram, colonoscopy, flu shots, diabetic eye exams, etc...) and enter dates in patient health record to meet quality measure)
7. Identify social determinants of health and ADL needs of patient by contacting patient by phone (Communicate the needs to RN case manager)
8. Review clinical chart by identifying open gaps and gathering information needed from the patient to close them
9. Call patients to schedule annual wellness visit for all family practice clinics
10. Assist all clinical staff in all clinics with obtaining pre-authorizations for medications, imaging tests, procedures, etc.
11. Assist patients with updating PCP and coordination of benefits with insurance company
12. Document reported information by patient in medical record appropriately
13. Notify case manager of abnormal test results
14. Excellent communication skills. Ability to communicate effectively with patients, patient's family, and clinical staff
15. Excellent telephone etiquette
16. Print attestation forms and facesheets. Complete required information and prepare to send to clinic for completion by provider
17. Data Entry of Demographic and Clinical Information into HRMP System(s)
18. Referral Coordination, both outgoing and incoming
19. Strong knowledge of anatomy, physiology, and medical terminology
20. Manage office telephone systems, including answering calls and returning messages
21. Scheduling patient appointments (new and established patients) and maintaining communication to confirm future appointments (includes knowledge of proper HER patient registration process)
22. Performing data entry tasks to document patient records within facility databases and maintaining patient files
23. Coordinating daily office activities, greeting patients and checking patients in and out for their appointments
24. Eligibility and benefits
25. Authorization and pre-certification of procedures and medications
26. Scan documents into EHR
27. Index scanned documents
28. Prepare documents for transmission to external entities via fax, mail, and other
OrthoVirginia

About OrthoVirginia

With more than 160 orthopedic specialists in 36 locations in Virginia, OrthoVirginia is Virginia’s largest provider of orthopedic medicine and one of the leading providers of physical, hand and occupational therapy. As one of the largest orthopedic specialty practices in the country, OrthoVirginia’s nationally-recognized physicians provide advanced surgical and non-surgical care to patients of all ages.

OrthoVirginia is the official Orthopedic and Sports Medicine Partner of the Washington Commanders.

Our offices include on-site physical, hand and occupational therapy, surgery centers, and diagnostic imaging including x-ray, ultrasound and MRI. As an independent practice, our physicians are invested in providing comprehensive care to patients in our communities. We support local community organizations with financial and medical assistance to help build the wellness of people living in our cities and neighborhoods.

At OrthoVirginia, stronger starts here.

Industry
Healthcare & Social Services
Company Size
1,001-5,000 employees
Headquarters
Richmond, VA
Year Founded
Unknown
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