Eye Care Partners
healthcare
DiagnosticAdvocate
Neural analysis suggests this role is
optimal for Mid+ candidates.
“Diagnostic Advocate at Eye Care Partners. Skills: Prior Authorizations, Lab order management, Radiology order management, Patient Drug Assistance Applications. Prior Authorizations. Assistance with Self-pay processes”
Industry & Context.
Logical and Critical thinking skills
Frequent walking (75%), Sitting (50%), Standing (50%), Regular bending, stooping, carrying, and reaching (25–50%), Lift, carry, push, and pull items up to 25 lbs., Fine motor skills and full use of hands are essential, Constant grasping, writing/typing, hearing, and use of technology., Visual and auditory acuity—including color, depth, peripheral vision, and the ability to adjust focus—is required 100% of the time., Occasional driving or climbing may also be necessary.
What They're Looking For.
Must Have
High school diploma or general education degree (GED) required, Previous medical office experience, Previous ophthalmic experience strongly preferred
Nice to Have
Previous ophthalmic experience strongly preferred
What You'll Do.
Assistance with Self-pay processes
Patient Drug Assistance Applications
Back up template management/reschedules for doctors
Keep track of all lab orders
file results to EMR's notify providers of new results as they are reported and scanned to the chart.
Keep track of all radiology orders.
Ensure the ordered imaging complies with both National Radiology Guideline and Insurance Clinical Guidelines.
Ensure all necessary information is included on each imaging order
ICD-10 codes are specific/descriptive for the clinical tests results related to imaging that is ordered.
Work with insurance prior-authorization portals and/or prior-authorization representatives and nurse reviewers to successfully obtain all necessary insurance prior authorizations prior to sending the imaging orders to radiology central scheduling.
Update the Nextgen lab order module as needed to stay current with the hospital laboratory's compendium.
Update the Nextgen radiology module with new test as requested by providers.
Connect patients in need of assistance in affording their eye drops
to an available assistance or discount program
Provide them with necessary information and the initial application for that program.
Mail out renewal applications annually for as long as they remain on the drop.
Complete provider portion of application and have the provider sign the application.
Submit all information necessary patient and provider paperwork to the assistance program
to give the patient the best chance of qualifying for the program.
Keeping the providers informed when new drugs become available or is removed from an assistance program.
Research affordable alternative discount programs for patients not eligible for an assistance program or for whom their medication has been removed from an assistance program.
Ensure all drops that are required to be shipped to the primary clinic location
are received and sent to the patient's preferred pick-up location and patient notified that their drops are available for pick up at that 2 location.
If patients’ circumstances prevent them being able to pick up their drops at a clinic location
mailing the drops is permitted.
Keep detailed records on all patient assistance participants
or programs they are on and when their application must be renewed.
Keep a record of whose drops are shipped directly to the patient and which drops are shipped the practice.
Make note of patients who are to call for their own refills and which patients need their drops ordered by the practice.
Performs other duties that may be necessary or in the best interest of the organization.
How You'll Work.
Communication Scope
Excellent written, listening and verbal communication skills
Full Job Description
EyeCare Partners is the nation’s leading provider of clinically integrated eye care. Our national network of over 300 ophthalmologists and 700 optometrists provides a lifetime of care to our patients with a mission to enhance vision, advance eye care and improve lives. Based in St. Louis, Missouri, over 650 ECP-affiliated practice locations provide care in 18 states and 80 markets, providing services that span the eye care continuum. For more information, visit www.eyecare-partners.com. Company: Grand Rapids Ophthalmology Job Title: Diagnostic Advocate Department: Ophthalmology Reports To: Clinic Supervisor Location: This position is located in Grand Rapids, MI SUMMARY The ideal candidate will have strong communication and computer skills, and as well as strong organization and attention to detail, to provide a positive impression, showing patients we provide unsurpassed care right from the start. ESSENTIAL DUTIES AND RESPONSIBILITIES Prior Authorizations Assistance with Self-pay processes Good Faith Estimates Patient Drug Assistance Applications Back up template management/reschedules for doctors Keep track of all lab orders, lab results, file results to EMR's notify providers of new results as they are reported and scanned to the chart. Keep track of all radiology orders. Ensure the ordered imaging complies with both National Radiology Guideline and Insurance Clinical Guidelines. Ensure all necessary information is included on each imaging order, ICD-10 codes are specific/descriptive for the clinical tests results related to imaging that is ordered. Work with insurance prior-authorization portals and/or prior-authorization representatives and nurse reviewers to successfully obtain all necessary insurance prior authorizations prior to sending the imaging orders to radiology central scheduling. Update the Nextgen lab order module as needed to stay current with the hospital laboratory's compendium. Update the Nextgen radiology module with new test as requested by pro
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