Patient Access Assistant

Job Title

The primary function of this position shall be to coordinate the timely completion, monitoring, and submittal of all incoming pre-authorizations for diagnostic testing procedures and surgeries.

Job Description

(35%) 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.

(25%) 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.

(20%) Provides excellent customer service to patients on the phone and face to face. Manages difficult situations that arise with authorization process.

(20%) 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.

Other duties as assigned

Experience, Training and Skills

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. 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.

Physical/Mental Requirements and Typical Working Conditions

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.