Allegheny Health Network

GENERAL OVERVIEW:

This job schedules surgeries, tests, procedures, and office visits; obtains authorizations from insurance carriers.

ESSENTIAL RESPONSIBILITIES:

• Schedules and coordinates operating room, primary care and specialty office visits, tests, procedures and/or surgeries. (30%)
• Completes reservation forms for hospitals; completes and delivers physician orders for upcoming procedures; tracks medical clearances; obtains all billing information. (30%)
• Obtains authorizations for inpatient and outpatient procedures. (30%)
• Transcribes reports, notes and correspondence; answers phones and take appropriate actions; files patient information in the medical record and prepares charts; performs general office tasks. (10%)
• Performs all other duties as assigned or required.

QUALIFICATIONS:

Minimum

• High school diploma or GED; or one to three months related experience and/or training; or equivalent combination of education and experience.
• Knowledge of medical terminology.
• Experience with ICD-10 and CPT codes.
• Computer experience and keyboard skills.

Preferred

• Associate's Degree.
• PC database and word processing skills.

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.

Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

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For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org

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This job schedules surgeries, tests, procedures, and office visits; obtains authorizations from insurance carriers. ESSENTIAL RESPONSIBILITIES:Schedules and coordinates operating room, primary care and specialty office visits, tests, procedures and/or surgeries. (30%)Completes reservation forms for hospitals; completes and delivers physician orders for upcoming procedures; tracks medical clearances; obtains all billing information. (30%)Obtains authorizations for inpatient and outpatient procedures. (30%)Transcribes reports, notes and correspondence; answers phones and take appropriate actions; files patient information in the medical record and prepares charts; performs general office tasks. (10%)Performs all other duties as assigned or required. QUALIFICATIONS:Minimum. High school diploma or GED; or one to three months related experience and/or training; or equivalent combination of education and experience. Knowledge of medical terminology. Experience with ICD 10 and CPT codes. Computer experience and keyboard skills. Preferred. Associate's Degree. PC database and word processing skills. Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

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