Medical Appointment Agent Job at Southern California Orthopedic Institute

Southern California Orthopedic Institute Bakersfield, CA 93309

  • Answer calls though the Appointment ACD Path.
  • Exceptional customer service thus providing knowledgeable and accurate information.
  • Scheduling patients for consultation with SCOI physicians in all office locations:
  • Interview and gather imperative information from patients/ insurance carrier/ VIP’s to provide best physician options and appointment availability for the injury/condition:
  • Injury
  • Condition
  • Insurance
  • Diagnostic testing
  • Location
  • Registration of patient demographics
  • Creating worker’s compensation cases
  • Creation of cases for private authorization or referrals
  • Registration of Adjuster/ Nurse Case Managers.
  • Private and Worker’s Compensation Insurance comprehension to distinguish an industrial related injury from a non-industrial related injury.
  • Follows specific Physician protocols for scheduling appointments for:
  • New Private Patients
  • New Work Comp patients
  • New IPA/ HMO
  • QME, Panel QME, AME, IME, AOE-COE
  • Med/Legals
  • Follow up visits
  • Limited post op’s
  • Some injections
  • Scheduling appointments directly with insurance carriers
  • Only specifically assigned agents to manage the CCWC:
  • Obtaining authorization
  • Obtaining medical records
  • Obtaining diagnostic testing
  • Job descriptions
  • Comprehension of Insurance Matrix & keeping up to date of the ever changing of Physician/ Payer contracts
  • Interacts with Adjuster, Nurse Case Managers, Defense Attorney regarding workers compensation needs
  • E-mailing of same/next day add on’s
  • Faxing worker’s compensation statuses daily with in 24hrs from DOS.

Secondary Duties and Responsibilities

Scheduling Appointments (All based on specific Doctors protocols and procedures):

New W/C & Private appointments

Faxing Work Comp statuses for assigned Dr.(s)

Agent assigned to one week for retrieval Appointment V/M’s done daily & throughout day

Follow up calls (daily) for Accounts w/ Insurance Pending

Other duties as needed/assigned.

Job Types: Full-time, Part-time

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Disability insurance
  • Flexible schedule
  • Flexible spending account
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance

Schedule:

  • 8 hour shift

COVID-19 considerations:
All healthcare workers in CA but vaccinated and boosted against COVID 19.

Ability to commute/relocate:

  • Bakersfield, CA 93309: Reliably commute or planning to relocate before starting work (Preferred)

Education:

  • High school or equivalent (Preferred)

Work Location: One location




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