What are the responsibilities and job description for the Quality PA Clinical Float position at Sullivan County Community Hospital?
QUALIFICATIONS
Education
- Graduate from an accredited Medical Assistant Program
Experience/Skills
- Knowledge of practice operations
- Clinical experience
- Knowledge of medications
- Commitment to “cross training” assigned tasks
- Commitment to customer satisfaction in responding to all patient/customer inquiries (internal customers)
- Ability to use office equipment
- Ability to adapt to changes in procedures and/or workload
- Excellent written and oral communications skills
- Ability to work independently with little supervision
- Ability to work under pressure with time constraints
- Ability to concentrate
Required Licenses/Certifications
- Medical Assistant certification
- CPR
Working Conditions
- Clean, well-lit, well-ventilated general office working environment
ROUTINE RESPONSIBILITIES
Behavioral Standards
- Consistently complies with established Behavioral Expectations
Patient Representative Duties
- Responsible for authorization and precertification for services and medications, referral appointment scheduling, and surgery scheduling
- Responsible for accurate and timely processing of prior authorizations, perform appeals as necessary, and the ultimate resolution of each case as assigned
- Back up to hospital medication prior authorizations
Service
- Works with Pharmacy to meet 340B medical record documentation from specialists
- Obtains medical records to close referral loops and to meet qualifying measures for programs that the SCCH Clinics/Hospital are required to meet
- Labels medical records properly within Athena.
- Responds promptly to patient needs
- Facilitates professional/empathetic resolutions for patients
- Answers prior authorization questions for patients
Clinical Staff
- Works with Clinical Supervisor to provide requested information needed for projects
- Works in the Saturday rotation at QuickCare Clinic location
- Will fill in as float in clinical schedule when deemed necessary by management
- Maintains/meets all Clinical skills/duties required by SCCH Clinics as an employee
- Performs other duties as assigned
Full time/Day shift
64 hours/Biweekly