Insurance Specialist/Medical Assistant

5 hours ago

Champaign, Illinois, United States Christie Clinic Full time
Job Summary

Christie Clinic is seeking a highly skilled Insurance Specialist/Medical Assistant to join our Spine and Pain department. As a key member of our team, you will be responsible for obtaining insurance prior authorization for ordered treatments and procedures, scheduling procedures and office appointments, and providing direct patient care in a clinic office setting.

Key Responsibilities
  • Serve as a liaison between patients, office staff, and insurance carriers to facilitate timely scheduling of recommended surgeries and procedures.
  • Obtain precertification and prior authorization for surgeries and procedures.
  • Schedule ordered procedures and surgeries in a timely manner.
  • Clarify orders for requested surgeries and procedures as necessary.
  • Coordinate patient surgeries and procedures with existing physician surgical and procedure schedules.
  • Maintain an organized work area and complete assigned tasks in the medical record.
  • Act as a receptionist in the absence of the regular receptionist, checking patients in for appointments, answering phones, and scheduling appointments.
  • Triage phone calls and review and analyze information prior to submission of prior authorization requests.
  • Accurately obtain and document necessary information to process and submit prior authorization requests.
  • 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 other pertinent information required for scheduling.
  • Coordinate scheduling of add-on and stat surgeries and procedures, including prior authorization, scheduling with patients, and coordinating with performing providers.
  • Correspond with ordering providers and offices regarding authorization status updates and claim/charge denials.
  • Advocate for patients and providers by processing referrals in a timely manner.
  • Schedule patient appointments, including entering lab orders, imaging orders, and referrals.
  • Obtain patient vital signs, weight, and height.
  • Prepare exam and treatment rooms with necessary supplies and equipment prior to appointments.
  • Clean and restock rooms at the end of the day.
  • Perform chart preparation according to department standards.
  • Maintain and update patient medical records upon visit, including allergies, medications, past medical history, etc.
  • Use a flag system per standard work.
  • Review and respond to the EMR work list per department standard work.
  • Complete lab order entries.
  • Assist providers with procedures and surgeries as needed.
  • Assist in patient education relating to medication instructions, procedures, wound care, or other necessary information pertaining to patient care.
Requirements

Graduation from an accredited program for certified nursing assistants or certified medical assistants is preferred.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities.

The contractor will not discharge or discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant.

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