Specialty Services Rep II Cypress Care
The Specialty Services Representative II will support corporate policies, programs and practice in order fulfillment and processing of referrals for the medical needs of the injured worker. This role requires a high degree of integrity, confidentiality, as well as strong interpersonal skills, organization, professionalism, and initiative.
Essential Duties and Responsibilities
Handle Intake Orders for clinical services (Prosthetics, Home Modifications, etc)
Schedule and coordinate Diagnostic (MRI) procedures with network imaging facilities.
Schedule and coordinate Physical Therapy (PT) appointments.
Input patients into system and create orders within Magnolia
Place orders with vendors and efficiently monitor the referral
Negotiate pay rates with vendors
Provide quotes to the client for authorization.
Obtain necessary authorizations /pre-certifications post quote
Schedule and coordinate evaluations, installations and home modifications
Make critical decisions surrounding high dollar orders
Answer questions on orders (owned by incumbent or others) from clients, Adjusters or NCM?s.
Manage email inquiries from sales personnel, Clients Adjusters/NCM
Communicate intelligently with clients and MD office staff/personnel
Build and maintain positive relationship with clients and vendors
Coordinate with accounting department to close out billing orders
Gather, research and analyze data
Create process flows for standard operating procedures
Assist other departments with various data related tasks
Other duties directed by Company
||2736 Meadow Church Road |
Atlanta, GA 30024