Job Details
** Clinical Support Specialist**
**Job Category****:** ADVISORY SERVICES **Requisition Number****:** CLINI003636 Showing 1 location **Job Details**
**Description**
**ABOUT SOUND:**
Sound Physicians is a leading hospitalist company that delivers improved quality of inpatient hospital care, the highest levels of patient and physician satisfaction ratings and exceptional operational efficiency within the hospitals we serve. It is through the combination of people, processes and technology that Sound uniquely addresses the clinical, administrative and fiscal challenges facing our nation's health care delivery system in acute-care and skilled nursing facilities. Founded in 2001, Sounds 1,500+ hospitalist physicians, clinical performance nurses and physician assistants are located in over 200 hospitals throughout the US. Together, we are committed to providing the highest standard of compassionate, skillful medical care to our patients and hospital partners.
Sound Physicians offers a competitive benefits package inclusive of the items below, and more:
* Medical insurance, Dental insurance and Vision insurance
* Health care and dependent care flexible spending account
* 401(k) retirement savings plan with a company match
* Paid time off (PTO) begins accruing immediately upon start date at a rate of 15 days per year, in accordance with Sound's PTO policy
* Ten company-paid holidays per year
**ABOUT THE TEAM:**
Sound Advisory Services provides high-quality concurrent and secondary case reviews and advisory services to hospital partners nationwide. Our unique approach includes both remote advisory services and the option for an onsite medical director of advisory services.
**POSITION SUMMARY:**
The Clinical Support Specialist (CSS) is responsible for providing administrative and operational support for the remote physician advisors and are the primary point of contact when issues arise.
**ESSENTIAL DUTIES AND RESPONSIBILITIES:**
* Administrative support to facilitate the completion of appeal letter requests including, but not limited to, creating cases, preparing the medical record for the appeal writer, confirming deadlines, printing and mailing final letters, and calling payers to confirm outcomes.
* Maintain access to all client EMRs and review EMR training material to become an expert in EMR navigation; prepare PDF extracts of key components of the EMR needed for physician advisor case review
* Schedule peer-to-peer reviews between physician advisors and insurance company medical directors
* Resolve issues preventing physician advisors from completing cases such as missing information, questions for case managers or hospital partner physicians, EMR access issues, etc.
* Monitor and triage case requests to ensure target case completion deadlines are achieved
* Assist in coordinating onboarding and training for remote clinical personnel and conduct physician training for EMR navigation
* Coordinate conference calls between partner site IT and clinical personnel
* Coordinate mentor calls for clinical personnel
* Triage calls during office hours and resolve client inquiries
* Prepare PowerPoint presentations, Word documents, mail merge and Excel spreadsheets as requested
* Initial partner hospital administrative set up in Advisory Services workflow system
* General office work (faxing, mailings, draft letters, order supplies & forms)
* Complete additional special projects as assigned
**SPECIAL KNOWLEDGE, SKILLS, ABILITIES, TRAINING, OR SPECIAL LICENSES/CERTIFICATIONS NEEDED TO PERFORM YOUR JOB**
* Ability to multi-task and prioritize workload in a fast-paced environment
* Excellent written and oral communication skills
* Service oriented (both internal and external)
* Creative and persistent problem solver
* Able to handle confidential material in a reliable manner
* Ability to interact and communicate with individuals at all levels of organization (internal and external)
* Strong interpersonal skills to handle sensitive situations and confidential information. Position requires demonstrated poise, tact, diplomacy, and good judgment.
* Proficiency with Microsoft Office Suite, including advanced Outlook, Word, Excel, Visio, Microsoft Project and PowerPoint skills
* Excellent general office skills: computers, fax machines, printers, copiers, conference call set-up, scanners, mobile phone/email devices
**EDUCATION / EXPERIENCE:**
Education
Minimum: High School degree or GED or equivalent experience
Preferred: Bachelors Degree
Experience
Minimum: 2 years general business administration experience in a professional setting
Preferred: 3-5 years business administration experience in health care service delivery
**OTHER PHYSICAL AND/OR SPECIAL REQUIREMENTS ABOUT YOUR JOB:**
* Sitting at desk for up to eight hours (w/breaks)
* Working on computer for up to eight hours (w/breaks)
* Shifts may include evenings and some weekends as part of a regular schedule.
* Remote
*T**his job description reflects the present requirements of the position. As duties and responsibilities change and develop, the job description will be reviewed and subject to amendment.*
**Qualifications**
**Skills**
**Behaviors**
**:**
**Motivations**
**:**
**Education**
**Experience**
**Licenses & Certifications**