Auto Injury Program Specialist

3 weeks ago

Jacksonville, United States Southeast Orthopedic Specialists Full time

Established in 2001, Southeast Orthopedic Specialists is a regional leader in orthopedic medicine. We are dedicated to growing with our patients. Our reach will continue to expand to meet the needs of all patients, present and future. It is our wish to make industry-leading five-star orthopedic care accessible to as many people as possible.

Healthcare Outcomes Performance Company is a vertically integrated musculoskeletal outcomes management company. HOPCo is the managing partner of Arizona-based entities, CORE Institute, Northern Arizona Orthopaedics, CORE Institute Specialty Hospital, Michigan-based CORE Institute, and Florida-based Southeast Orthopedic Specialists.

As Southeast Orthopedic Specialists continues to grow, we are looking for an AIP Specialist.

Please see below for the functions and requirements to be an AIP Specialist with Southeast Orthopedic Specialists.

ESSENTIAL FUNCTIONS

  • Takes inbound calls from patients and outside providers to set up patient charts, schedule appointments. Answers questions and provides information pertaining to well-defined areas, which require interpretation of policy.
  • Reviews accounts and forms for accuracy and completeness.
  • Responsible for sending documentation and claims for each patient visit to the correct insurance carrier.
  • Communicates verbally and in writing regarding patient status and treatment plans with attorneys.
  • Responds to telephone calls from internal staff, patients, adjustors, and attorneys.
  • The job holder must demonstrate current competencies for job position.
EDUCATION
  • High school diploma/GED or equivalent working knowledge preferred.
EXPERIENCE
  • One-year medical billing or medical business office experience in physician office or hospital environment; OR
  • One-year customer service experience in retail, sales, or insurance; OR
  • One-year experience in the insurance industry.
  • Auto Injury experience is preferred.
REQUIREMENTS
  • Excellent verbal and written communication skills.
  • Ability to work productively in a fast-paced environment.
  • Ability to learn and retain company policies, state and federal policies, and workflow processes.
KNOWLEDGE
  • Knowledge of auto insurance and/or healthcare insurance
  • Knowledge of physician group operation and clinic policies.
  • Knowledge of insurance verification processes.
SKILLS
  • Skill in Microsoft applications, specifically Excel and Access.
ABILITIES
  • Ability to proficiently use arithmetic calculations in data collection and interpretation.
  • Ability to use interpersonal skills to establish/maintain cooperative relationships with patients, families, physicians, management and other staff.
  • Ability to communicate openly and honestly with management and staff.
ENVIRONMENTAL WORKING CONDITIONS
  • Normal office environment
PHYSICAL/MENTAL DEMANDS
  • This can occasionally be a high-stress work area requiring ability to make quick decisions, while being organized and prioritizing appropriately.
  • Requires sitting and standing associated with a normal office environment.
  • Some bending and stretching required.
  • Manual dexterity using a calculator and computer keyboard.
ORGANIZATIONAL REQUIREMENTS
  • HOPCo Mission, Vision and Values must be acknowledged and adhered to

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