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MyMichigan Health · 1 month ago

Patient Access Assistant

United States

Full-time

Remote

Entry Level

1+ years exp

MyMichigan Health is a technology-driven organization focused on providing quality healthcare services. The Patient Access Assistant will coordinate the timely completion and monitoring of pre-authorizations for diagnostic testing and surgeries, ensuring accurate communication with providers and patients.

Health CareHospital

Responsibilities

Monitors surgical/diagnostic imaging schedules to verify that pre-authorization is in place and is correct in order to receive payment on high dollar accounts. Tracks incoming pre-authorizations using Electronic Medical Record system. Reviews referrals within Electronic Medical Record for accurate CPT codes

Works directly with physician offices to ensure authorization for diagnostic testing procedure/surgery is in place. Provides education and training to physician offices on authorization related issues

Provides excellent customer service to patients on the phone and face to face. Manages difficult situations that arise with authorization process

Coordinates investigation into denials on a weekly basis and completes retro-authorization or appeal process. Responsible for ensuring appeals are submitted in a timely manner via mail, fax, telephone, or electronically

Maintains positive relations with all customers. This may include, but not limited to assisting with resolving questions, inquiries and/or issues

Leads surgery and high dollar imaging denial management for the medical center

Effectively operates a computer using MS Office applications such as Word, Excel as well as vital systems required for registration and insurance verification etc. for the department

Delivers non-coverage paperwork or notification to patients or department leaders when required

May work directly with Operating room (OR) lead scheduler, or department, to ensure scheduled OR/procedure time is utilized for authorized services

May perform pre-registration responsibilities for upcoming surgeries or procedures

Other duties as assigned

Qualification

Medical office experiencePre-authorization knowledgeElectronic Medical Record systemMedical terminologyCustomer service skillsTyping skillsWindows PC experienceMulti-tasking abilityProblem solving skillsOrganizational skillsTime management skillsInterpersonal skills

Required

High school diploma or GED is required

Typing skills and basic computer knowledge needed to enter patient information

Ability to work independently, demonstrating problem solving and organizational skills, time management skills and initiative

Maintains confidentiality with all patient information and data obtained

Attends appropriate meetings

Ability to multi-task and work under pressure of deadlines, changes in schedules, and office routines

Ability to operate all office equipment including: computer, printer, photocopier, facsimile machine, multi-line telephone, and calculator

Ability to work where employee may be exposed to communicable diseases

Phone, listening, and interpersonal skills needed to communicate successfully with individuals and groups and interact with people at all levels to communicate ideas and concepts in a clear and understandable manner

Windows PC And Internet Experience Is Required

MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft® Windows

Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death

Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position

Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description

Overall vision and hearing is necessary with or without assisted device(s)

Frequently required to sit/stand/walk for long periods of time

May require frequent postural changes such as stooping, kneeling or crouching

Some exposure to blood borne pathogens and other potentially infectious material

Must follow MyMichigan Health bloodborne pathogen and TB testing as required

Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake

Overall dexterity is required including handling, reaching, grasping, fingering and feeling

May require repetition of these movements on a regular to frequent basis

Physical Demand Level: Sedentary. Must be able to occasionally (0-33% of the workday) lift or carry 0-10 lbs

Preferred

One year medical office experience in a Medical Center or similar setting preferred

Knowledge of medical terminology and medical office practices, policies and procedures as normally acquired through experience working in the medical center or similar setting preferred