• Certified Medical Assistant

    UnityPoint Health (Fort Dodge, IA)


    + Area of Interest: Allied Health

    + FTE/Hours per pay period: .9

    + Department: Urology - Fort Dodge

    + Shift: 36/week

    + Job ID: 167428

     

    Overview

    UnityPoint Health

    0.9 FTR (36 hours/week) Full time benefits

     

    Monday - Friday, Day time hours

     

    Manage all facets of the patient referral process. The scope of the referral process begins with receipt from the provider through to the communication with the patient. Responsibilities include, but are not limited to, obtaining pre-certification or prior-authorizations, scheduling the visit with specialist or outpatient services, completion of documentation with the electronic medical record (EMR) and communicating referral information to referring offices and to the patient.

     

    Why UnityPoint Health?

     

    At UnityPoint Health, you matter. We’re proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members.

     

    Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you’re in.   Here are just a few:

     

    + Expect paid time off, parental leave, 401K matching and an employee recognition program .

    + Dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members.

    + Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family .

     

    With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together.

     

    And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience.

     

    Find a fulfilling career and make a difference with UnityPoint Health.

    Responsibilities

    Coordination of Patient Appointments & Authorizations

     

    + Coordinates appointments and relays authorization information to scheduling staff of specialist or outpatient service offices as requested

    + Completes appropriate forms or requisitions needed for referrals or testing, including appropriate CPT/ICD-10 coding

    + Provides appropriate and timely documentation in the patient’s EMR using standardized workflows and processes.

    + Builds and maintains positive working relationships with all contacts

    + Acts as a liaison between UnityPoint and all referral sources

     

    Correspondence with Patients

     

    + Notifies patient of appointment details via telephone, MyChart, and letter.

    + Ensure patients are informed of scheduled tests/procedures.

    + Reinforces instructions and explanations of tests/procedures to patients per protocol

    + Utilizes exemplary customer service skills with every patient interaction

     

    Obtain Pre-Certifications and Prior Authorizations

     

    + Obtains insurance pre-certifications and prior authorizations for office procedures, diagnostic testing, and imaging for patients

    + Coordinates pre-certs and authorization processes with scheduling staff so appointments can be made in timely manner

    + Obtains any and all pertinent clinic health information from provider, clinical staff and/or EMR to process authorizations, referrals, and pre-certifications.

    + Verifies demographic information, including insurance, when scheduling and/or obtaining pre-certifications

    + Monitors outstanding authorization requests and initiates follow-up of outstanding authorizations in a timely manner

    + Maintains current knowledge of payer specific requirements of prior authorizations by attending virtual workshops, researching, reading newsletters

    Qualifications

    Education:

    + High School diploma or equivalent.

    + Graduate of accredited medical assistant, and/or LPN nursing program, preferred.

    Experience:

    + 2-3 years previous experience in medical field.

    + Basic knowledge of medical terminology, anatomy and physiology.

    + Experience with insurance verification/pre-authorizations, Basic knowledge of Current Procedural Terminology (CPT) and International Classification of Disease (ICD-10) coding, is preferred.