Utilize all resources and guidelines at his/her disposal to effectively assess, prioritize, advise, schedule classes or physician appointments, or refer calls when necessary to the appropriate medical facility, personnel or specialized community service.Refer patients to appropriate medical facilities or providers for care, utilizing approved guidelines as indicated by individual client profiles.Thoroughly complete documentation utilizing the appropriate computer software in compliance with the approved policies and procedures.Fax all completed Telephone Advice Records and Transaction calls to appropriate physician client immediately by internal faxContact insurance carriers to verify patient's insurance eligibility, benefits and requirements.Request, track and obtain pre-authorization from insurance carriers within time allotted for medical and services.Request, follow up and secure prior-authorizations prior to services being performed.Demonstrate and apply knowledge of medical terminology, high proficiency of general medical office procedures including HIPAA regulations.Clearly document all communications and contacts with providers and personnel in standardized documentation requirements, including proper format.

Pre-certifications/Prior Authorizations for Procedures, Surgeries, and Medications.Reviews patient medical record to respond to pharmacy requests for prescription refills, change of medications, prior authorizations, and contraindicationsPerforms phlebotomy functions including venipuncture and micro-collection ensuring quality and timeliness of collection, processing and distribution of specimens and input of required informationReceives and responds to incoming phone calls from patients for test results, medication refills, postop instructions, and answering general dermatology questionsTriages the needs of patients identifies urgent clinical situations and addresses it immediately to the patient, and or medical provider based on level of acuityAbility to handle responsibilities independently, while exercising good judgment in problem solving and keeping team members adequately informedCommunicates and acts as liaison with patients, family, and health professionals in a manner that respects confidentiality and dignity.Coordinates the needs of the patient with supporting departments and assists in solving problems related to the welfare of patient and staff.Charts concisely, descriptively, and legibly indicating patients progress or lack of progress.Performs nursing procedures safely and efficiently.

Sterilizing Surgical Instruments and preparing tray for surgeryAssisting physician with examinations / surgeries, counseling patientsAssisting with MOHS surgeriesAnswering calls/assisting front desk as neededCharting/documentation of patient informationProvide assistance to the physicians and mid-level providers during medical and surgical procedures, including patient care and educationPrep procedural trays for procedures such as, biopsies, excisions and shave removals, Cryotherapy and I&DPerforms phlebotomy functions including venipuncture and micro-collection ensuring quality and timeliness of collection, processing and distribution of specimens and input of required informationVerify patient information by interviewing patient; recording medical history; confirming purpose of visitRoom patients, to ensure all necessary consents and photos have been completedMaintain biopsy logs and assure proper follow up and documentation for any positive biopsy results requiring further medical carePosting charges, taking payments for daily report sheets, scanning daily batches to the biller.Consulting with patients regarding rx and non rx products at checkout.Accept payments and process billing statementsKeep track of payment deposits from patients and insurance reconciling detailsPrepare payment batchesConduct audits for billing cyclesAssess explanation of benefits (EOBs) from insurance companiesKeep accurate billing records and report any discrepancies to accounting

Review documentation and approve FMLA leave of absencesCoordinate all aspects of FMLA absences- insurance, retirement, payroll, etc., with the employee and other departments/locationsManage FMLA roster of employees out on leave and provide informationProvide information and documentation to third party vendor regarding short-term disability claimsProvide information and documentation regarding long term disability claimsAssist employees in the ADA processCoordinate, as needed, other forms of leave such as emergency leavePlan for return to work for employees out on disabilityAbility to handle responsibilities independently, while exercising good judgment in problem solving and keeping team members adequately informed

Review each medical record accurately and on time.Working with insurance companies, assisting with billing and coding.Organize laboratory, x-rays and special reports into medical records.Manage sign out system for all chart pulling.Pre-assemble new patients medical records and deliver to providers on time.Prioritized workload to meet daily production schedule.Review medical records for completeness after working on every medical record.