Clinical Order Management Specialist

About Sound Founded in 2001 and headquartered in Nashville, TN, Sound Physicians is a nationally respected, physician-led medical group practicing in 400+ hospitals across 45 states. Our team of 4,000+ clinicians and 1,000+ business professionals across the country is united by one mission: to build exceptional clinical partnerships that unlock quality, affordable, dignified care for everyone - no matter who they are or where they live . With physician-led clinical teams and more than two decades of operational expertise, we've refined what it takes to consistently deliver exceptional care in hospital medicine, emergency medicine, critical care, anesthesia, and telemedicine. Why join us? A remote-first culture that values flexibility and collaboration Opportunities to grow your career while making a real impact A team that champions inclusivity, innovation, and excellence Whether working virtually or onsite at one of our practices, you'll be part of a purpose-driven organization shaping the future of healthcare. 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 Role Clinical Order Management Specialist is responsible for performing all tasks and communication related to intake and processing of prescriptions and/or physician orders, as well as patient information concerning durable medical equipment. This role regularly communicates with patients, health care providers, Team Members, Health Insurance (payor) representatives and referral sources. The Clinical Order Management Specialist coordinates with DME vendors, physicians, and applicable internal/external personnel regarding medical records and information needed to process orders that are placed by physicians. Confirm medical records meet medical necessity based on applicable insurance guidelines. Promptly follow-up on patient referrals, physician prescriptions and/or physician work orders.

The Details:

Full-Time, 100% In office: Mon-Fri, 8am-4:30pm/5pm, Dallas, TX 75231 Essential Duties and Responsibilities Assisting with appeals for Prior Authorization denials Placing orders for Durable Medical Equipment, Diagnostic Imaging and Specialty Drugs Reviewing "Delivery Tickets" to confirm they were completed accurately and signed Performing data entry to supplement orders including patient demographics, prescribing physician's information, insurance payor information, HCPCS procedure codes, ICD-10 diagnosis codes, etc. Regularly contacting and communicating with Team Members, insurance companies, vendors, sales representatives, doctor's offices, practitioners, clearinghouses, billers, and other applicable companies and associates, sending updates on prior authorizations, claims, patient benefits, orders, and other information as appropriate Expert on insurance coverage with all vendors Answering incoming phone calls to office and route messages accordingly Performing detailed notetaking with high accuracy on pertinent information Utilizing Adobe Acrobat Pro to create and edit PDF files: insert/move/delete pages; edit/add/redact text; save meta data, create templates, export/import data through plugin, etc. Consistently following up with patients to confirm patient satisfaction Accurately completing forms/applications and sending out to applicable destination Exercising patience and empathy when communicating with patients and customers Being aware of and adapting to changes in medical regulations and processes

Values Work Ethic:

Dedication to getting the job done well and on time, regardless of circumstances, a can-do attitude

Communication:

The ability to speak, write, and listen clearly and consistently

Teamwork:

Demonstrates the ability to pull people together into highly effective teams along with ability to work in a highly matrixed organization

Critical Thinking:

Demonstrates the ability to be proactive, anticipate needs; ability to make good decisions with incomplete, ambiguous information

Adaptability:

Demonstrates flexibility and a willingness to change as circumstances evolve and be coachable

Resourceful:

Proactive willingness to utilize available information and tools to figure things out, not afraid to ask questions when necessary

Self-Motivated:

Proactively jumps in to start a task or project with limited direction; asks to take on more responsibility and what is next

Collaborative:

Demonstrates the ability to work well with others to accomplish a goal and get the work done; takes opinions of others into consideration; includes others in the decision-making process Knowledge, Skills, and Abilities Medical Assistant Certification Knowledge of medical terminology Education and Experience High School Diploma 2-3 years as a certified medical assistant within a clinic or hospital setting Extensive organizational and task management experience Electronic Medical Records experience

Pay Range:

$17.00-$24.50 hourly. Exact pay will be determined based on candidate experience and geographical location. Sound Physicians is an Equal Employment Opportunity (EEO) employer and is committed to diversity, equity, and inclusion at the bedside and in our workforce. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, gender identity, sexual orientation, age, marital status, veteran status, disability status, or any other characteristic protected by federal, state, or local laws. This 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.