Patient Services Intermediate

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　　Summary

　　The PMR specialty at Chelsea Health Center provides high quality health care services for adults. We are actively seeking a highly skilled Referral authorization Coordinator who is a compassionate, enthusiastic, patient/collaborative individual who will share in the goal of creating the ideal experience for our patients, families, and employees.

　　To be considered for this position, a cover letter is required and should be attached as the first page with your resume. The cover letter should address each of the following points:

　　Describe your background and qualifications and why you believe you would be a good fit for this position at the PMR Chelsea Health Center.

　　Outline your service excellence skills and experiences which would be applicable to this position.

　　In your most recent position, how was service excellence emphasized?

　　Mission Statement

　　Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.

　　Why Join Michigan Medicine?

　　Michigan Medicine is one of the largest health care complexes in the world and has been the site of many groundbreaking medical and technological advancements since the opening of the U-M Medical School in 1850. Michigan Medicine is comprised of over 30,000 employees and our vision is to attract, inspire, and develop outstanding people in medicine, sciences, and healthcare to become one of the world?s most distinguished academic health systems. In some way, great or small, every person here helps to advance this world-class institution. Work at Michigan Medicine and become a victor for the greater good.

　　What Benefits can you Look Forward to?

　　Excellent medical, dental and vision coverage effective on your very first day

　　2:1 Match on retirement savings

　　Responsibilities*

　　? Verify medical, clinic visits and/or procedure insurance benefits through direct contact with insurance carrier (via phone and/or online platform(s)) including deductible, copay, co-insurance, out of pocket max, need for authorization and/or referral for adult patients.

　　? Obtain authorization for services.

　　? Obtain PCP referral for services.

　　? Complete reauthorization process: follow through to resolution and maintain records.

　　? Complete insurance rechecks for previously scheduled patients, when applicable

　　? Contact patient/family if further information is needed.

　　? Manage calls from patient/family/provider regarding insurance/payment related inquiries.

　　? Enter referrals and authorizations into the MiChart referral shell, and imaged documents (if applicable)

　　? Understand patient liability for service(s) based on available fee schedule, general reimbursement rates, deductible(s), co-insurance, co-pay, out of pocket maximum(s), and other consequential information.

　　? Maintain records of completed verifications/authorizations and work with Revenue Cycle representatives regarding insurance claim/payment issues (outstanding authorizations, benefit discrepancies, etc.)

　　? Communicate authorization/re-authorization information to provider and administrative support, when applicable

　　? Stay current with insurance trends, contracts with Michigan Medicine, commonly referenced diagnostic exclusions, scope of practice exclusions, and other aspects of successful insurance reimbursement.

　　? Attend bimonthly Revenue Cycle Forum meetings.

　　? Develop, along with lead or supervisor and scheduler colleagues, standard work.

　　? Acts as a Surgery Scheduler or Referral/Authorization Coordinator for the clinic.

　　? Manage multiple work queues daily.

　　? Respond to patient and family referral and billing calls or inquires related to authorization concerns in a timely manner.

　　? Provide relevant insurance information and updates to staff, providers, and managers.

　　? Other duties as assigned.

　　Required Qualifications*

　　High school diploma or an equivalent combination of education is necessary.

　　3-4 years minimum experience.

　　Knowledge of basic medical terminology.

　　Must have knowledge of front-end systems (MiChart, Cadence, Resolute, Web Denis, M-Connect, I/Observer, etc.) and front-end.

　　processes (Check-in, Check-out) including ICD-10 and CPT coding.

　　Prior experience performing complex scheduling.

　　Familiarity with obtaining medical records.

　　Experience with referrals/authorizations and knowledge of insurance requirements for specialty and testing appointments.

　　Strong organizational skills and the ability to successfully complete multiple tasks within established and changing deadlines required.

　　Individual must exhibit a professional and positive image when interacting with patients, faculty, and staff.

　　Must also adhere to ambitious standards of personal and professional conduct, possess excellent customer service, interpersonal, and communication skills, and be able to relate well with people.

　　Ability to accept direction from multiple sources, prioritize tasks and remain adaptable to rapid changes in work.

　　Must have strong problem-solving skills and be able to prioritize multiple tasks.

　　Must have excellent attendance.

　　Demonstrate active listening, written, verbal and information technology skills.

　　Desired Qualifications*

　　Familiarity with UMHS electronic medical record systems.

　　Knowledge of Michigan Medicine Policies and Procedures.

　　Experience working within a large, complex healthcare setting.

　　Prior experience as a referral coordinator.

　　Work Schedule

　　This position is 40 hours/week remote, Monday-Friday 8:00 a.m. ? 5:00 p.m. Must be available and flexible with schedule.

　　Background Screening

　　Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses.

　　Application Deadline

　　Job openings are posted for a minimum of seven calendar days. The review and selection process may begin as early as the eighth day after posting. This opening may be removed from posting boards and filled anytime after the minimum posting period has ended.

　　U-M EEO/AA Statement

　　The University of Michigan is an equal opportunity/affirmative action employer.

　　Job Detail

　　Job Opening ID

　　243966

　　Working Title

　　Patient Services Intermediate

　　Job Title

　　Patient Services Intermediate

　　Work Location

　　Michigan Medicine - Ann Arbor

　　Ann Arbor, MI

　　Full/Part Time

　　Full-Time

　　Regular/Temporary

　　Regular

　　FLSA Status

　　Nonexempt

　　Organizational Group

　　Um Hospital

　　Department

　　MM Chelsea Health Center

　　Posting Begin/End Date

　　1/17/2024 - 2/16/2024

　　Career Interest

　　Healthcare Admin & Support

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