Job description

About Affinity Healthcare Solutions

Affinity Healthcare Solutions, we care about physicians and their patients. We offer healthcare management service organization assistance including operations support, financial sustainability consulting, and clinical integration assistance, among other services to help physicians keep a pulse on their business, remain profitable, and ultimately stay independent.

Affinity Healthcare Solutions began as an independent physicians’ group, Palmetto Primary Care Physicians (PPCP), in 1996. More than 22 years later, we are proud to report that PPCP has grown to the largest independent multi-specialty group practice in South Carolina, with over 90 providers across 32 offices, and over 480 total staff members. Affinity Healthcare Solutions has the experience and skills necessary to understand and prioritize our customers’ needs and guide them through the process of expanding their businesses -- because we’ve also been physicians, managing and growing practices on our own. From contract negotiations to HR disputes, we’ve been on the front lines defending the interests of our physicians. We will stand with you as a physician MSO partner who has been there, done that, and understands what you’re facing.

To learn more about Affinity, visit https://www.affinityhealthcaresolutions.com/

• Offer 401K with generous company match
• Medical, Dental, Vision Benefits
• Short Term and Long Term Disability Offered

Job Summary:
Supports the Diagnostic scheduling Department and the organization’s mission, vision, and values by exhibiting compassion, integrity, accountability and excellence. Serves a key member of the diagnostic scheduling department by collaborating with providers, colleagues, patients and family members to promote a patient-driven model of care that ensures the delivery of quality and cost-effective healthcare services.

Job Functions:

• Selects appropriate test and informs the patient or physician office staff of any carrier that is out of network or plan that may result in a reduction in benefits
• Contacts insurance carries via telephone or through verified web portal to initiate prior authorization request
• Maintains files of approved and denied request
• Select the correct patient medical record consistently
• Acknowledge, file, and send actions/messages via eCW.
• Works assigned diagnostic imaging prior authorization request within a 1-2-day time frame to ensure patients are scheduled in a sufficient manner
• Fax requested clinical information to insurance companies to obtain prior authorization
• Follow up with insurance carriers in a timely manner to check the status of request
• Notifies referring provider of any additional information needed as well as options to further provide this information to carriers (e.g. Peer to peer request)
• Answers the telephone in a timely and professional manner
• Schedules all patients for ancillary and medical testing/procedures through the eCW scheduling module
• Informs the physician office staff or patient of any testing requirements according to the instructions and queries in the scheduling module
• Edit via the scheduling module those departmental calendar changes to ensure that patients are not scheduled when personnel is not available
• Acknowledge, file, and send actions/messages via eCW.
• Work all diagnostic imaging orders within a 2-3 day time frame to ensure patients are scheduled in a sufficient manner
• Other duties as assigned

Position Qualifications:

• Operate standard office equipment including; electronic medical records, multi-line phone system, copier/fax/scanner
• Microsoft office
• Prioritization
• Flexibility
• Time management
• Organization
• Attention to detail
• Professionalism
• Works well in a team environment and ability to communicate

Education: High school diploma or GED required

Experience: Prior medical office experience preferred

Job Type: Full Time

Location: North Charleston, SC

EOE

Work Remotely

• No

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Work Location: One location

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