Reference

Eight roles, written to be edited.

Summary, responsibilities, requirements and the specialty notes for the people who run a specialty practice. Copy, cut what you do not need, add your pay range.

Copy freely

Pay ranges vary by region and are left to you.

The roles.

Front desk coordinator (patient services representative)

The first person a patient meets, at the counter and on the phone: check-in, insurance, scheduling, and the calm voice when the waiting room is full.

Responsibilities

  • Greet and check in patients; verify demographics, insurance and consents.
  • Schedule, reschedule and confirm visits on the practice's rules for each provider and visit type.
  • Collect copays and balances at the visit; post payments.
  • Answer and route calls; take messages the clinical team can act on.
  • Prepare charts and referrals for the day; scan documents into the record.
  • Keep the lobby, forms and signage in order.

Requirements

  • High-school diploma; a medical office certificate is a plus.
  • One year in a medical or dental front office, or strong customer-service experience.
  • Working knowledge of insurance verification and a practice-management system.
  • Calm, clear and kind under pressure; accurate with names, dates and numbers.

By specialty

In an orthopedic or surgical practice, add: pre-op paperwork, DME and imaging orders, and the post-op call queue.

With Callinzo: The receptionist takes the rings; this role keeps the counter and works the task inbox instead of the voicemail box.

Surgery scheduler

Turns a surgeon's decision into a date: the OR block, the pre-op clearance, the authorization, the patient's instructions, and the implant on the shelf.

Responsibilities

  • Book procedures into surgeon and facility blocks; coordinate with the ASC or hospital.
  • Obtain prior authorization and confirm benefits before the date is confirmed to the patient.
  • Arrange pre-operative clearance, labs and imaging; track results.
  • Send and explain pre-op instructions; confirm the day before.
  • Coordinate implants, representatives and equipment with the facility.
  • Keep the cancellation list moving so blocks stay full.

Requirements

  • Two years scheduling in a surgical specialty.
  • Fluent with CPT and ICD-10-CM for authorizations, and with payer portals.
  • Organized across many moving dates; unflappable on the phone with facilities and patients.

By specialty

Orthopedics, spine, neurosurgery, ENT, ophthalmology and general surgery each have their own block rules and implant lists.

With Callinzo: Pre- and post-op confirmation calls go out from the receptionist; the scheduler sees the answers as tasks.

Medical assistant (clinical)

Rooms the patient, takes vitals and history, assists with procedures, and works the clinical call-backs: results, refills and the post-op questions.

Responsibilities

  • Room patients; record vitals, medications, allergies and the reason for the visit.
  • Assist with injections, minor procedures, casting or dressing changes as the specialty requires.
  • Handle refill requests and results call-backs under the provider's protocol.
  • Prepare and stock rooms; maintain logs for the refrigerator, sterilization and supplies.
  • Document in the EHR accurately and on time.

Requirements

  • Medical assistant certification (CMA, RMA or state equivalent); BLS.
  • One year in an outpatient specialty clinic preferred.
  • Comfortable with the specialty's procedures and its EHR templates.

By specialty

Orthopedic MAs cast and splint; dermatology MAs assist with biopsies; cardiology MAs run ECGs; GI MAs manage prep questions.

With Callinzo: Refill and results requests arrive as tasks with the caller's details and callback number, so the call-back list is complete by 9 a.m.

Prior authorization specialist

Gets the yes before the visit, the scan or the surgery, and fights the no.

Responsibilities

  • Identify services that need authorization at scheduling; submit with the right codes and documentation.
  • Track pending requests and deadlines; escalate peer-to-peer reviews.
  • Appeal denials with the clinical record and the payer's own policy.
  • Keep the authorization matrix by payer and service current.
  • Report turnaround and denial rates monthly.

Requirements

  • Two years in authorizations or billing in a specialty practice.
  • CPT and ICD-10-CM fluency; knowledge of payer policies and portals.
  • Persistence and precise writing.

By specialty

Imaging, injections, surgery and specialty drugs are the heavy authorization lines in orthopedics, pain, neurology, GI and dermatology.

With Callinzo: Eligibility and authorization questions from patients are routed as tasks; the receptionist does not handle prior auth itself.

Medical biller and coder

Turns the note into a clean claim and the denial into a paid one.

Responsibilities

  • Code visits and procedures from the documentation; query providers for specificity.
  • Submit claims daily; work rejections and denials by reason code.
  • Post payments and adjustments; reconcile to the bank.
  • Send patient statements; set up payment plans.
  • Watch the aging report and the top denial reasons; feed fixes back to scheduling and the front desk.

Requirements

  • CPC, CCS-P or equivalent; two years in a specialty practice.
  • NCCI edits, modifiers and global periods by heart.
  • Comfortable with clearinghouse and payer portals.

By specialty

Surgical specialties need global-period discipline; imaging and pathology need 26/TC and CLFS rules; behavioral health needs time-based codes.

With Callinzo: The receptionist's bill on the Reports screen is line-by-line, so the practice's own cost per handled minute is known every day.

Practice manager

Runs the business of the practice: people, schedule, money, compliance and the phones.

Responsibilities

  • Hire, train and schedule the front-desk and clinical support team.
  • Own the provider schedule templates, access and the waitlist.
  • Watch collections, denials, payer contracts and the cost of the phone line.
  • Keep HIPAA, OSHA and CLIA policies current and trained.
  • Choose and manage vendors, from the EHR to the answering service.

Requirements

  • Three to five years managing a medical practice; a degree or CMPE is a plus.
  • Financial literacy: reading an aging report and a P&L.
  • Steady with people, direct with vendors.

By specialty

Multi-provider specialty groups add block scheduling, ASC relationships and imaging or lab operations.

With Callinzo: The manager sets coverage, approves the receptionist's scripts, reads the transcripts, and sees the bill and the pickup rate on one screen.

Triage nurse (RN) and on-call coordinator

Decides which calls become visits today, which become advice, and which page the physician tonight.

Responsibilities

  • Triage symptom calls with the practice's protocols; document and route.
  • Manage the after-hours escalation protocol and the on-call rota.
  • Coordinate urgent add-on visits with the schedule.
  • Educate patients on post-procedure care and medication questions under standing orders.
  • Review the previous night's pages each morning.

Requirements

  • Active RN licence; two years in the specialty or in telephone triage.
  • Clear judgement and clear notes.
  • Comfortable writing and revising protocols with the physicians.

By specialty

Post-op protocols in surgical specialties, chest-pain and anticoagulation protocols in cardiology, prep and bleeding protocols in GI.

With Callinzo: The nurse writes and approves the screening questions the receptionist asks; every page carries the answers and the nurse sees them in the morning.

Referral coordinator

Keeps referrals moving in both directions: the incoming ones scheduled, the outgoing ones tracked to a result.

Responsibilities

  • Process incoming referrals; obtain records and insurance; schedule within the target days.
  • Send outgoing referrals and orders; confirm receipt and appointment.
  • Close the loop: results and consult notes back to the referring provider.
  • Track referral turnaround and leakage; report monthly.

Requirements

  • One to two years in a referral or scheduling role.
  • Knowledge of insurance networks and referral requirements.
  • Follows through without being asked.

By specialty

Specialty practices live on referrals from primary care; imaging centers and laboratories on orders.

With Callinzo: Referring offices calling to book reach the receptionist, which books on the schedule and leaves the coordinator the records work.

All resources

Fewer rings, same team.

The receptionist takes the phone; your people keep the counter, the schedule and the patients in front of them.