Responsibilities*
Basic Function and Responsibilities
- Works with referrals and authorizations and scheduling for medical services. Obtain insurance approvals using established insurance company guidelines. Manages daily work queues.
- Manage phone calls from internal and external customers related to referrals and authorizations. Coordinates with other department schedulers when needed. Understanding of CPT codes, identification of patient financial liability. Serve as a representative of the unit to disclose financial responsibilities to the patient.
- Accurately and efficiently schedule patient appointments utilizing Cadence.
- Management of pre-arrival functions to assure all necessary information has been obtained for clinic visits.
- Serve as a resource for physicians and other staff, patients, and outside third parties for insurance authorizations and other managed care related issues.
- Respond to patient inquiries related to special requirements of insurance plans, directing patient to insurance carrier as needed to address coverage and benefit questions.
- Assist patients with payment questions on the phone or in person. Collect payments, co-pays and past due balances at patient check out using established department guidelines.
- Reconcile clinic cash collections and credit card transactions daily according to specified clinic standards.
- Ensure completeness of visit information including type of visit, reason for service, charge for service and diagnostic codes for processing professional and facility charges.
- Participate in creating efficient patient flow coordinating with nursing/medical assistant staff and faculty
RELATED DUTIES
- Perform other duties as assigned.
PHYSICAL REQUIREMENTS
This position requires sitting, some standing and walking, lifting of less than 5lbs.
SUPERVISION RECEIVED
- General Supervision is received from the Administrative Manager
Required Qualifications*
- Graduation from high school or an equivalent combination of education and experience.
- Minimum 3 years of experience.
Desired Qualifications*
- Knowledge of basic medical terminology.
- Experience working within a large, complex health care setting.
- Familiarity with UMHS electronic medical record systems.
- Exceptional interpersonal skills and ability to work well within a team setting.
- Communicates effectively.
- Demonstrates active listening, written, verbal and information technology skills.
Modes of Work
Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work agreements are reviewed annually at a minimum and are subject to change at any time, and for any reason, throughout the course of employment. Learn more about the work modes.
Work Schedule
Monday - Friday days
Union Affiliation
This position is covered under the collective bargaining agreement between the U-M and the Service Employees International Union (SEIU), which contains and settles all matters with respect to wages, benefits, hours, and other terms and conditions of employment.
U-M EEO Statement
The University of Michigan is an Equal Opportunity Employer. We are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants, including protected veterans and individuals with disabilities.