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Job Description
Job Summary
Provides clerical support in complex matters to assist in the delivery of quality health care services.
Essential Functions
Responsible for complex patient/customer problem solving, including high level discernment when registering patients in treatment rooms.
Performs administrative functions, including, but not limited to: assists with patient check-out; schedules complex patient appointments, incoming/outgoing referrals, surgeries and tests, including medical record review of incoming referrals; builds provider schedule template; navigates external patient referral portals; reconciles multi-department deposit.
Obtains insurance authorizations and/or verifies that prior authorization has been obtained; assists with retroactive insurance denials/appeals.
Responsible for complex EMR/EHR scanning and Right Fax faxing and uploading to EPIC.
Responsible for identifying and reminding patients of health maintenance gaps.
Ability to perform the role of Patient Services Representative, Associate when necessary.
Actively participates in safety initiatives and risk mitigating measures where appropriate and completes all position and unit safety related competencies and requirements on a timely basis.
Qualifications
Required High School Diploma or equivalent
2 years of relevant experience insurance billing, access management, patient financial services, electronic health records, lab service support or other related experience Required
Primary Location
SITE – 330 Barclay – Grand Rapids
Department Name
Pediatric Generalists – HDVCH
Employment Type
Full time
Shift
Weekly Scheduled Hours
40
Hours of Work
8:30 am to 5 p.m.
Days Worked
Monday-Friday
Weekend Frequency
N/A
Spectrum Health requires all team members to receive the COVID-19 vaccinations subject to certain exclusions based on the team member’s job category. Spectrum Health is committed to granting reasonable accommodations in accordance with applicable laws.
Accommodation Notice: If you are a qualified individual with a disability, you may request a reasonable accommodation in Spectrum Health’s application process. Contact us at 616-486-SHHR (7447).
Spectrum Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, sexual orientation, veteran status, or any other legally protected
category. See more here (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) .
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