PATIENT CARE SPECIALIST

Obtain authorization for in-office testing by contacting insurance carriers and transmitting provider instructions. Communicate with and schedule patients once authorization is received, then clearly document all services and communications in Sun Life's EHR. Track pending authorizations and reschedule testing or "no shows" as needed. Enter orders for testing reports and run monthly reports to confirm appointments. Refer patients to the Outreach department for sliding fee eligibility or payor changes. Manage MFM referrals, place ultrasound orders, and attach reports to patient charts using the eCW registry to track high-risk patients and reduce care gaps. Compile statistics and communicate information to maintain cooperative relationships among health care teams.