Health Insur & Auth Rep IV

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.

Job Location (Full Address):

601 Elmwood Ave, Rochester, New York, United States of America, 14642

Opening:

Worker Subtype:

Regular

Time Type:

Full time

Scheduled Weekly Hours:

40

Department:

500183 Health Insurance Counseling

Work Shift:

UR - Day (United States of America)

Range:

UR URC 206 H

Compensation Range:

$20.99 - $28.34

Responsibilities:

GENERAL PURPOSE
The Physician Support Representative III (PSR) serves as the initial contact to the Division of Pediatric Allergy/Immunology. The PSR works with a team of 4-5 staff to support approximately 15 physicians and mid-level providers in the Department of Pediatrics. Must be able to triage incoming calls, schedule patient appointments, obtain pertinent medical information and accurately document in the appropriate programs, including the electronic medical record (EMR). Candidate will coordinate functions associated with patient information for ambulatory visits and act as a resource for staff performing patient-related functions. Candidate will use eRecord and OnBase, as well as distribute mail and perform other duties as assigned. Candidate must demonstrate capability and desire to work independently and be a strong team player. Demonstrates ICARE* values in each of the major responsibilities (ICARE—an acronym for Integrity, Inclusion, Compassion, Accountability, Respect and Excellence—provides the foundation for how we treat people at this Medical Center). Achieving our strategic vision depends on all of us living out these values and embracing the diversity of our faculty, staff, students, trainees and patients.

ESSENTIAL FUNCTIONS

Clinical Support (35%)

• Interacts with patients, families, providers and other offices on the telephone and in person to provide support for a pediatric multi-specialty office.  Must demonstrate ability to timely answer and efficiently triage incoming calls, determine nature/urgency of the calls, and handle appropriately.  Must be able to communicate effectively and relay information correctly and efficiently in a complex medical environment.  Serves as office expert for Allergy/Immunology & Rheumatology. 
• Assesses calls to understand patient needs, prioritizes medical concerns and obtains responses from providers and follows up with patient.
• Manages referrals (via eRecord and fax/mail) and schedules patient visits.  Registers patient demographic and insurance information.
• Responsible for clinical prep.  Obtains and ensures referral paperwork is scanned into patient charts prior to each visit.  Prints labels and prepares clinical documents and delivers to clinic.  Ensures appropriate clinic paperwork is scanned into the chart after the visit.
• After each clinic, reviews schedules/office note encounters for scheduling follow up.
• Works with Supervisor, Clinical Administration to ensure outpatient clinics are opened and closed appropriately.  Develops and works “bump” and reminder lists effectively, timely and accurately. 
• Attends clinic, as necessary. May perform check-in and/or check-out duties.  Schedules follow-up appointments for patients.  Provides clinical and clerical support to providers.

Administrative (5 %)

• Attends office staff meetings and other relevant meetings, as requested.
• Provides clerical assistance, including distributing mail, create routine & non-routine mail correspondence to families & outside offices, scanning, faxing and errands.
• Other duties, as assigned

Procedure Scheduling/Coordination: (20%)

• Assists Providers in reaching out to multiple offices to coordinate non-clinical inpatient & outpatient procedures.
• Schedules all necessary imaging, tests, & labs associated with procedure(s).
• Completes & submits all paperwork needed for procedure(s).
• Serves as main point of contact for patients, pre and post-operative.

Provider Support & External Coordination: (30%)

• Assists Providers in patient care transfer to external offices & departments.
• Provides & requests all necessary medical documents & records to & from external offices and patients as needed.
• Assists families with coordinating multi divisional appointments internal & external.
• Reviews incoming patient visit referrals for proper scheduling and distribution.
• Assists Providers with contacting families to provide test results.
• Examines the clinical schedule(s) on a continuous basis to identify opportunities for optimizing the time and effort of providers.
• Researches hospital medical records for information requested by physicians, insurance companies, & families.
• Applies provider preferences in protocols is selecting from multiple possibilities to execute and/or delegate follow up actions based on provider’s patient notes.

Misc. (10%)

• Provides insurance companies with information needed for services, testing, & labs.

MINIMUM EDUCATION & EXPERIENCE

• High School diploma and 2 years of relevant experience required. Required
• Or equivalent combination of education and experience. Required
• Equivalent combination of education and experience. Required

KNOWLEDGE, SKILLS AND ABILITIES

• Must prioritize exceptional patient care with compassion and respect. Demonstrated customer service skills, specifically strong communication skills. Preferred
• Medical Terminology, experience with appointment scheduling software (such as Epic), Microsoft Office and electronic medical records preferred. 
• Demonstrate accuracy in all correspondence including eRecord.  Preferred
• Ability to work in a fast-paced, stressful environment, and demonstrate efficiency in prioritizing assignments while working successfully with a team.  Preferred

The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University’s Mission to Learn, Discover, Heal, Create – and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.