Patient Services Intermediate
The Infusion Access Center is a Michigan Medicine Ambulatory Care Team dedicated to providing high quality care for centralized scheduling of infusion services and pre-authorization reviews that include Adult & Peds Non-Cancer Infusions, Adult & Peds Cancer & transfusions. We are actively seeking a compassionate, enthusiastic, and patient-focused individual who will share in our goal of crafting the ideal experience for our patients, families, and employees.
As a Patient Service Intermediate with Michigan Medicine, the role provides a high level of customer service and clerical support to patients in our outpatient settings. May assist adjacent work units. Guides entry-level positions and suggests workflow changes and improvements.
This is a full-time, 40-hour/week position, Monday-Friday, weekends possible.
- Schedule new and return Peds and Adult Infusion appointments (ONC and NON ONC), determining appropriate clinic and utilizing scheduling guidelines and informational tools
- Answer high volume phone line
- Trouble shoot and resolve scheduling issues
- Incorporate and practice Lean principles into daily work
- Function as a collaborative and contributing team member
- Obtain insurance approvals for Adult & Pediatric Cancer & Non-Cancer Infusion Services.
- Review patient benefit level to determine cost share out of pocket expense for upcoming procedure and infusions services.
- Provide Insurance Verification for coverage changes.
- Contact appropriate third-party representatives for information and assistance with determining benefit level when online resources are not available
- Resolve problems with payers prior to service
- Manage daily work queues/inbaskets
- Diagnosis review (ICD-10) for all infusions, including Local Coverage Determination, National Comprehensive Cancer Network Compendium, contact providers for non-covered diagnosis and discuss options, including contacting payer for Medical Director review
- Demonstrate outstanding customer service skills
- Work closely with Clinical Teams to provide an ideal patient experience
- Initiate telephone triage in basket notes; document according to specified clinic standards.
- Complete routine referrals
- May collect cash and credit card payments from patients, determine patient pay portion and provide receipt of payment
- Other clerical duties as assigned.
Graduation from high school or an equivalent combination of education and experience. Minimum 3 or more years of experience within a medical environment.
PHYSICAL REQUIREMENTS: This position requires infrequent standing/walking
- 3 or more years of experience within a medical environment.
- Knowledge of basic medical terminology
- Prior experience performing complex scheduling
- Experience answering high volume calls
- Must exhibit professional behavior at all times
- Experience facilitating and coordinating a patient's continuum of care, as well as, identifying and recommending appropriate resources available
- Ability to multi-task and produce high quality work in a timely, accurate, and efficient manner
- Demonstrates excellent attendance record and ability to work independently
- Working knowledge of Insurance & authorizations
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