Orthopedic Specialist- CMH Surgery Administration

• Department: Surgery Administration - CMH

• Entity: Peoria Service Area

• Job Category: Patient Care

• Employment Type: Full - Time

• Job ID: 42355

• Experience Required: None

• Education Required: HS Diploma/GED

• Shift: Day

• Location: Peoria, IL

• Usual Schedule: 7AM to 3:30PM

• On Call Requirements: No

• Work Location: Methodist Medical Center

• Weekend Requirements: No

• Holiday Requirements: No

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  Position Summary:

  The Orthopedic Specialist is responsible for and supports the Carle Health Surgical Services team by managing the patient interaction, scheduling of pre-operative services, and coordination of care through the pre-surgical process. The scope begins with pre-operative services and the completion of the documentation and closure in the electronic medical record. This specialist is responsible for closely collaborating with several teams in the specialty office including, but not limited to prior authorization, nursing, physician and administration

  Qualifications:

  ADDITIONAL REQUIREMENTS

• Use of usual and customary equipment used to perform essential functions of the position.

  SKILLS AND KNOWLEDGE Ability to read, write, comprehend and speak fluent English.Ability to respond appropriately to customer/coworker. Ability to have interactions with a wide variety of people. Maintain confidential information. Ability to communicate only the facts to recipients or to decline to reveal information. Ability to project a professional, friendly, helpful demeanor. Basic computer knowledge using word processing, spreadsheet, email, and web browser. Comfortable with Windows OS and learning new applications.

  Essential Functions:

• Identifies all UPH patients that require insurance verification and prior authorization and have a sound knowledge base for the pre-surgical process. Proactively identifies all Carle Health patients coming in to see Orthopedic surgeonsCoordinates with registration sources and the patient to get current insurance information. Researches and understands patient insurance benefits to facilitate appropriate facility requirements for careFollows procedures for potential keeping care in system opportunitiesDemonstrates the ability to accurately and tactfully relay any pertinent benefit or certification information to staff, providers, patient and/or patient's family.Collaborates and seeks assistance and direction from lead clinical position to assist in providing clinical support for insurers as indicatedDisplays sound knowledge of medical terminology and various procedures, testing and class requirements

• Communicates effectively via phone, fax and correspondence processes with multiple service providers such Primary Care Providers, specialist offices, providers, staff and patients.Able to multi-task and problem solveAdheres to various scripting used for various audiencesAdapts the communication style to each patient's ability to understandRecognizes and responds to verbal and non-verbal communicationDisplays strong grammar skills related to composition, spelling, punctuation, sentence structureOutstanding telephone etiquetteEffectively work with team, provider and clinic/hospital staffWorks with a sense of urgency, customer service focusAble to schedule several appointments in a time-sensitive order, collaborating with multiple officesEffectively educate patient on the importance of maintaining appointments and schedulesCollaborates effectively as a liaison between specialists, providers, staff and Carle hospital resources

• Demonstrates ability to use scheduling systems and displays appropriate telephone etiquette and interpersonal relationship building skills.Performs the scheduling function of the Medical Center by utilizing the scheduling computer softwareFacilitates the scheduling of Joint Classes with Carle resourcesAble to keep up-to-date with work queue and various stakeholder informed of process statusSends appropriate paper work to requesting services Consistently exhibits the ability to schedule multiple providers in a timely mannerConsistently determines proper scheduling requirements and/or limitations according to requestMeets all notification requirements prior to the patient's date of serviceSchedules patients accurately in a timely and polite manner to ensure customer satisfactionExhibits a high level of proficiency in the use of the computerized scheduling systemOversee the entire pre-surgical process from beginning to end (office appt to OR scheduled)

• Demonstrates ability to work efficiently, prioritize patient care, establish positive relationships with key stakeholders, and work in a face-paced environment. Able to multi-task and problem solveDemonstrates ability to work independently with minimal supervisionCommunicates tactfully and clearly with staff, stakeholders and patientsAdjust quickly to manage multiple prioritiesCoordinate concerns or barriers to key stakeholders quickly and efficiently

  We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: human.resources@carle.com.

Effective September 20, 2021, the COVID 19 vaccine is required for all new Carle Health team members. Requests for medical or religious exemption will be permitted.