Christie Clinic's department of Behavioral Health is seeking a full-time Medical Assistant/Insurance Specialist at the Windsor clinic in Champaign from Monday-Friday 8:00am-5:00pm.

Duties include obtaining insurance prior authorization for ordered treatments, medications, and referrals, scheduling office appointments, and direct patient care in the clinic office setting.

JOB DUTIES: (This list may not include all of the duties assigned.)

• Obtain insurance prior authorization for appointments, medications, and ordered therapy, as required, via web based, telephone, fax, and/or written communication.
• Accurately obtain and update necessary information to process and submit prior authorization requests.
• Proficiently utilize third party payer portals, insurance payer portals, or governmental payer portals to process submission of prior authorization requests.
• Update insurance information, authorization status, and any other pertinent information in the patient’s medical record.
• Advocate for patients/providers by processing referrals and scheduling exams within the requested/designated timeframe.
• Serves as the liaison between patient, ordering provider, office, and insurance carrier to facilitate timely scheduling of recommended exams.
• Respond to and coordinate follow-up regarding insurance denials, appeals, and retro-authorization attempts in cooperations with ordering provider/office.
• Correspond regarding authorization status updates with appropriate personnel (for example, schedulers, ordering offices, etc.)
• Review and respond to the EMR work list and in basket messages per department standard work.
• Provide insurance guidance to team members or providers. Demonstrate understanding of insurance requirements.
• Maintain an organized work area.
• Maintain up to date information regarding changes to insurance requirements in the electronic medical record and individual carrier updates.
• Answer phones and triage phone calls as appropriate.
• Act in the absence of a receptionist by checking patients in for appointments, answering phones, scheduling appointments, etc.
• Schedule patient appointments.
• Transcribe physician orders.
• Obtain patient vital signs, weight, and height.
• Prepare exam and treatment rooms with necessary supplies/equipment prior to appointment.
• Clean and restock rooms.
• Perform chart preparation according to department standards.
• Maintain and update patient medical record upon visit including allergies, medications, past medical history, etc.
• Review and respond to the EMR work lists.in baskets per department standard work.
• Assist in patient education as appropriate for scope/licensure.
• Communicate professionally and effectively with all providers, team members, patients, and external agencies.
• Obtain necessary supplies to maintain department operations.
• Contribute to safe and therapeutic patient relationships and care environment.
• Use age appropriate, therapeutic communication
• Perform related work as required.

TYPICAL PHYSICAL DEMANDS:

Demands include prolonged sitting, standing, walking, bending, stooping, stretching and lifting up to 75 pounds. Hearing within, or correctable to, normal range, vision correctable to 20/20 and manual dexterity is also required.

TYPICAL WORKING CONDITIONS:

Work is performed in a clinical office setting with possible exposure to communicable diseases, toxic substances, hazardous waste, bodily fluids and other waste common to a health care environment. Requirements may include working irregular hours.

PAY AND BENEFITS:

The estimated pay range for this position is exclusive of fringe benefits and potential bonuses. Final offers are based on various factors, including skill set, experience, qualifications, and other job-related criteria.

We also offer a substantial benefits package, including: