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Medical Administrative Assistant 3-Pediatrics-Genetics
3 months ago
Market Range: 04
Hiring Salary: $18.00/Hourly
JOB SUMMARY/ESSENTIAL JOB FUNCTIONS: The Medical Administrative Assistant 3 provides administrative support for the Inborn Errors Diet Treated program and Inborn Errors Enzyme Replacement Therapy in the Department of Pediatrics.
DUTIES AND RESPONSIBILITIES :
- Completes necessary forms for Prior Authorizations requests (Cigna, AR Medicaid, TN Medicaid, etc.).
- Contacts insurance carriers to acquire necessary information for peer-to-peer, troubleshoots issues with insurance carries, and organizes and submits information for appeals.
- Submits requested clinic notes, letters of medical necessity or other information to insurance carriers.
- Checks status of Prior Authorization requests for approvals/denials.
- Contacts parents or patient to obtain new insurance information.
- Obtains authorization for medications and related services (e.g. home health/infusion center when needed) for patients with chronic infusion therapies.
- Works closely with the case managers at pharmaceutical companies to receive assistance for patients' needs.
- Retrieves faxes and follows-up to provide the requested information for medications and related services.
- Obtains and maintains prior authorization for medical foods and low-protein foods, enzyme replacement therapies, drugs and replacement micronutrients for children with inborn errors of metabolism.
- Updates matching of Durable Medical Equipment, insurance companies, and products (medical foods, low-protein foods).
- Maintains updated demographic sheet of active patients.
- Inputs monthly, biweekly, FMLA, and temporary employee timesheets using SAP.
- Performs other duties as assigned.