MyMichigan Health · 2 weeks ago
Patient Access Assistant
Midland, MI
Full-time
Hybrid
Entry Level
1+ years expMyMichigan Health is a technology driven organization, and they are seeking a Patient Access Assistant to coordinate the timely completion and communication of pre-authorizations for diagnostic testing procedures and surgeries. This role involves working closely with providers and patients to ensure accurate pre-authorization information and managing appeals for denied claims.
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
Required
High school or GED is required
One year medical office experience in a Medical Center or similar setting preferred
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
An employee may be required to participate in further learning opportunities offered by MyMichigan Health
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
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
Company
MyMichigan Health
MyMichigan Health is a a non-profit healthcare company.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Lydia Watson
Chief Executive Officer
Bryan Cross
Chief Operating Officer
Recent News
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