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Clinic Support Specialist Jobs

Company

Össur
Address , Remote
Employment type FULL_TIME
Salary
Expires 2023-07-20
Posted at 11 months ago
Job Description
locations
Remote United States
time type
Full time
posted on
Posted 18 Days Ago
job requisition id
REQ-2750
Summary
The Clinic Support Specialist (CSS) supports clinic operations for the assigned prosthetics and/or orthotics medical practices within BCP Group/Össur Clinics. The Clinic Support Specialist is responsible for evaluating chart documentation for delivery approval, setting priorities for clinic staff, obtaining insurance prior authorizations, training new PCCs in their Region, supporting the integration of new locations through process and staff evaluation and education, and supporting Clinic and Regional Management from an operations perspective.
Essential Functions
  • Supports new market/clinic integrations, including traveling to the clinic site to conduct pre and post-close workflow and staffing assessments, and trainings in Compliance, Workflow, and WIP Management.
  • Acts as WIP Manager in assigned Clinics, setting priorities for deliveries, follow-ups on outstanding documentation, and running weekly WIP Meetings.
  • Determines whether and when items may be delivered based on a matrix of factors including but not limited to chart content, payer, timing, and financial and compliance risk.
  • Provides support to Clinic offices, as needed. Strives for a paperless work environment and full-utilization of technology‐based processes to drive operational efficiencies. Designs and implements process improvements to this goal.
  • Other duties as assigned.
  • Serves on crisis-intervention team for struggling clinic locations facing staffing, compliance, workflow, and/or management challenges
  • Performs Green Light/Compliance reviews of documentation from physicians and other healthcare providers and ensures information is included as part of the patient's medical record prior to product delivery and claim submission.
  • Identify training needs through ongoing performance evaluation, work alongside Director of Clinic Support to develop & implement training plans accordingly
  • Drafts Physician’s Note Guides for prosthetic patients prior to patient office visits. Works with Practitioners to determine medically necessary documentation criteria.
  • Submits Prior Authorization packages to insurance Payers, as required. Verifies authorization approvals and relays information on relevant payment and billing/collection policies back to the Clinics.
  • Defines training plans for and leads training of Patient Care Coordinators in workflow protocols and WIP Management for their assigned clinics.
Competencies
  • Computer Proficiency
  • Communication Proficiency
  • Detailed oriented.
  • Demonstrates excellent interpersonal skills with the ability to interface with patients, physicians, and coworkers in a tactful, informed and service‐oriented manner.
  • Problem Solving/Analysis
  • Ethical Conduct
Work Environment
This job is Remote with occasional travel required, up to 30% required. Will work on-site in Clinic environments occasionally. This role routinely uses standard office equipment such as computers, phones, photocopiers, scanners, and fax machines.
Qualifications
  • Working knowledge of Medicare LCD’s and Policy Articles for O&P
  • Compliance Certified
  • Bachelor’s degree in business, healthcare, or related field preferred.
  • Proficient with Microsoft Office, Opie/Nymbl EMRs, ICD10 coding, medical terminology
  • 2+ years of experience in the O&P industry utilizing EMR systems.
  • Prior experience as a Patient Care Coordinator within the company’s clinical offices desired, but not required.
  • Prior experience and working knowledge of Commercial, Medicare, & Medicaid Insurances including authorizations, appeals/denials.
Össur is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex including sexual orientation and gender identity, national origin, disability, protected Veteran Status, or any other characteristic protected by applicable federal, state, or local law.