Practice Operations Lead - Orthopedic

CHRISTUS Santa Rosa is proud to bring more than 145 years of Catholic, faith-based, health care excellence to Alamo Heights, an area known for its rich history and quality. Overlooking the Quarry Golf Course, the 36-bed short stay surgical hospital provides state-of-the-art technology including electronic medical records complemented by highly specialized services, physicians, and clinical care teams.

Summary:

This position is responsible for coordinating the referral/authorization of the clinic and assisting the Director in the operational performance of the Hospital Outpatient Department (HOPD). This includes but is not limited to: obtaining authorizations for all patient services, answering phones, making appointments, chart creation, and filing, assisting patients with payment arrangements and insurances related issues.

Responsibilities:

• Obtains authorizations for clinic visits, clinic procedures, and minor surgeries. Calls to obtain patient’s diagnostic codes from other sites as needed.
• Handles payment transactions to include balancing at the end of the day. Enters referral/authorization information appropriately and completely as needed.
• Contacts patients to resolve appointments, authorizations and payment difficulties or arrange satisfactory payment plans.
• Aids patients to improve customer service.
• Coordinates resolution of problems with PCP offices and Imaging Facilities and ensures compliance with regulations and standards.
• Facilitates the flow of information between individuals, departments, physicians and leadership to progress toward organizational goals and achieve timely solutions to problems.
• Assists Management in ensuring the compliance of Joint Commission guidelines and National Patient Safety Goals.
• Serves as a liaison between patients, Associates, staff, and providers.
• Maintains effective and respectful communication with providers, patients, Associates, and staff.
• Works with staff and providers to ensure quality patient care and services are provided.
• Ensures patient safety at all times.
• Maintains strict confidentiality. Follows CHRISTUS and Federal guidelines related to HIPAA, designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI).
• Uses oral and written communication skills to effectively convey ideas in a clear, positive manner that is consistent with the CHRISTUS Mission.
• Maintains established CHRISTUS policies, procedures, objectives, quality assurance, safety, and environmental and infection control protocols.
• Performs other job responsibilities as assigned in a manner consistent with the CHRISTUS Mission and Code of Ethics and is supportive of CHRISTUS’ cultural diversity objectives.
• Supports and adheres to the Service Guarantee and strives for ever-improved patient satisfaction.

Requirements:

Education/Skills

• High School diploma or GED required
• Must have experience in medical financial reimbursement, billing and collections
• Must have knowledge of CPT and ICD10 coding
• Must have ability to work independently and exercise good judgment
• Must have strong interpersonal and communication skills
• Must have prior experience working with PCs, scanning, faxes and multi-line phone systems
• Bilingual (Spanish/English) preferred

Experience

• Two years of experience in a medical office, in a patient access position, performing medical billing/collections, or other comparable position in a medical setting required.

Licenses, Registrations, or Certifications

• None

Work Schedule:

8AM - 5PM Monday-Friday

Work Type:

Full Time