ANCILLARY SPECIALIST

Definition and Role

The role of Ancillary Specialist reports directly to the Ancillary Strategy Manager. Highly motivated candidate who shares our vision, values, and commitment to quality healthcare. Performs basic administrative duties such as inventory control, shipping product, filing, copying, and faxing documents, as well as performing data entry. An ancillary specialist must have a good working knowledge of basic office equipment and good phone and computer skills. They are expected to multitask and adequately solve problems while providing quality service and maintaining a positive relationship with the executive team, nurse practitioners, physicians, healthcare providers, and administration staff. It is also important that ancillary specialist follow all rules related to patient and employee confidentiality.

Qualifications

  • Minimum 1-2 years of experience working in an office and/or Healthcare facility.
  • Bookkeeping and accounting for medical facilities.
  • Strong knowledge and understanding of medical terminology, Wound Care, strong clinical and interpersonal skills.
  • Able to work in fast-paced environment, demonstrate excellent problem solving, critical thinking and organizational skills.
  • Evidence of strong knowledge of Microsoft Excel, Word, Power point and computer skills.
  • Knowledge of communication processes and organization.
  • Commitment to accuracy and attention to detail.
  • DME experience is preferred.
  • Medical billing/coding experience is preferred.
  • Must have exceptional attention to detail.

Job Responsibilities and Duties

  • Attend and participate in meetings upon request, and continuing education.
  • Ability to communicate, work effectively and interact well with providers, colleagues and other healthcare professionals and always maintain employee and patient confidentiality in written, verbal, and electronic information.
  • Package and ship medical supplies.
  • Monitor and track insurance payments.
  • Anticipate cost and reimbursement prior to rendering services.
  • Respond quickly and appropriately to executive team and management requests.
  • Demonstrate awareness of MedCentris’ growth and development level when performing assigned tasks.
  • Complete documentation timely and in accordance with MedCentris policy.
  • Have the ability and flexibility to respond to changing demands of management, executive team, and providers.
  • Ability to communicate clearly.
  • Optimizes patients' satisfaction with ancillary services.
  • Proper verification of patient’s insurance carrier, out of pocket, and deductible.
  • Ensures availability of treatment information by filing and retrieving patient records.
  • Follow all regulatory guidelines for dispensing and providing treatment for services rendered.
  • Maintain patient accounts by obtaining, recording, and updating personal and financial information.
  • Communicate with direct supervisor, billing supervisor, physicians, and nurse practitioners.
  • Ensure potential roadblocks and risks are escalated to the attention of leadership when appropriate.
  • Contact payer organizations to verify coverage and obtain prior authorization/pre-certification of services, as needed.
  • Run and maintain eligibility throughout the month on applicable patients.
  • Obtain revenue by recording and updating financial information; recording and collecting patient charges; controlling credit extended to patients; filing, collecting, and expediting third-party claims.
  • Maintain office inventory and equipment by checking stock to determine inventory level; anticipating needed supplies; placing and expediting orders for supplies; verifying receipt of supplies.
  • Protect patients' rights by maintaining confidentiality of personal and financial information.
  • Maintain operations by following policies and procedures, reporting needed changes.
  • Contribute to team effort by accomplishing related results as needed.
  • All other duties assigned.

Physical Requirements

  • The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
  • While performing this job the employee is frequently required to sit, talk, and hear. The employee is required to walk, use hands and fingers to feel, handle, or operate objects, tools, or controls, and reach with hands and arms.
  • The employee must occasionally lift and/or move objects weighing up to 25 pounds. Specific vision abilities required by this job include close vision and the ability to adjust and focus.
  • Emotional/Psychological: Constant ability to make decisions and concentrate.