CURRENT HOLLAND HOSPITAL EMPLOYEES- Please apply through Find Jobs from your Workday employee account.

Pay Range: $18.50 - 23.64/hour

Employment Type: Full Time, 72 hours every 2 weeks.

Schedule: Mon, Tues, Wed, Fri 8am-5:30pm, no weekends or holidays.

Requirements: High School Diploma/GED required, Current Medical Assistant Certification or Registration or LPN required, BLS for the Healthcare Provider 60 days after hire required.

Communication Customer Service

• Communicates professional and effectively with patients (or families when appropriate), internal customers, insurance payers, practice managers and multi-disciplinary team of providers.

• Understands essential role in patient care coordination

• Anticipates and provides support to clinical teams so they can focus on medical office productivity

• Assures messages, forms, documentation are handled in a timely manner

• Communicates through a variety of methods including verbal, written, electronic

• Ability to prioritize messages, forms and documents

Document Management

• Timely retrieval and delivery of fax inbox documents

• Accurately assign patient documents to appropriate patient, folder, and naming convention guidelines

• Compliant with patient confidentiality/HIPAA regulations

• Updates medical record with pertinent historical medical information

• Completes refill requests accurately for providers by reviewing current information, creating a telephone encounter and forwarding to provider.

Prior Authorization

• Review and complete prior authorization requests for medications and high tech imaging

• Understand insurance coverage criteria and prior authorization requirements and stay up to date with  changes

• Proactively communicate with providers to gather supporting documentation for authorizations

• Track and monitor the status of all active prior authorizations and ensure timely submission of necessary documentation

• Educate patients on prior authorization process and address questions/concerns without the scope of license forwarding to provider or pharmacist as needed

QUALITY IMPROVEMENT

• Supports the quality improvement activities of the practices and understands role in quality improvement initiatives.

• Participates in learning experiences as appropriate.

• Ensures compliance with Organizations Quality Improvement program.

• Maintains and closes work flow process relative to referrals, authorizations, and orders to satisfy quality improvement initiatives.

Holland Hospital is an Equal Opportunity Employer, please see our EEO policy