About The Position

Under direct supervision of the providers, the role involves ordering testing and referrals for ongoing care and treatment, tracking and monitoring the patient recall list, obtaining insurance authorizations for time-sensitive testing, and maintaining appropriate documentation. If applicable, the position works as the clinical navigator for patient education and counseling regarding all testing and procedures. The role also includes performing specialist referrals included in the patient’s treatment plan, preparing and assembling materials regarding testing and procedures to be provided to the patients, and performing administrative duties to ensure efficient services and working relationships with other MyMichigan Health departments as well as external departments. The expectations outlined in this job description may vary slightly depending on the practice in which you are assigned.

Requirements

  • A minimum of 3 years in clinical experience in a health care facility or medical office and/or specialty practice.
  • Knowledge of medical terminology.
  • Maintains a high level of confidentiality and ensures patient’s rights in accordance with proper procedures and in compliance with HIPAA.
  • Demonstrates competency in Microsoft® Windows.

Nice To Haves

  • Prefer completion of an Associate’s Degree in a Healthcare Related field.
  • Experience as normally acquired through working in oncology or general surgery practice.
  • Knowledge of reading, writing, mathematical and computer skills.

Responsibilities

  • Under the direction of the providers, orders testing and specialist referrals as outlined in the patient’s treatment plan. Schedules initial consultation, follow-up appointments, and testing. Obtains insurance authorizations as necessary.
  • Assist patients with education, counseling, and navigation of the health system and terminology from point of testing through their courses of treatment. Counsel patients and families on their medical condition, individual plan of care, and use of prescribed treatment/medications. Coordinate patient care with other treatment team members. Possess an in-depth knowledge of the specialty, diagnoses, and disease processes treatment options. Coordinates and schedules appointments as appropriate. Monitors if patient is non-compliant with treatment plan and appointments.
  • Under the direction of the physician, conducts daily coordination with other specialists and departments to determine appropriate course for patient’s treatment plan.
  • Reviews patient file to pull necessary documentation for ongoing care and treatment. Tracks patient care throughout the course of the treatment plan outlined by the physicians. Prepares educational materials needed for patient consultation.
  • Pull imaging studies and other appropriate testing to review with Invasive Imaging department to determine what procedure(s) should be performed. Send clinical data to radiologist to assist in preparing patient protocols.
  • Follow up on EMR task list and work list items as appropriate.
  • May be required to schedule surgeries and testing.
  • Acts independently, using a high knowledge base of the specialty in order to perform decision making using discretion and judgment which requires critical thinking and communication skills, frequently in stressful situations.
  • Obtains insurance authorizations for time-sensitive testing and for ongoing care and treatment.
  • Reviews insurance rejections or requests with patient, insurance biller and/or customer service representative.
  • Under the direction of a provider order, is involved in patient testing and care based on evolving and changing guidelines.
  • Assists in maintaining a clean and safe environment for patients and co-workers.
  • Performs administrative duties, such as organizing office, ordering supplies, filling out insurance forms, creating correspondence, arranging hospital admission, answering the telephone, and updating/files/scanning information into patient’s medical records.
  • Maintains a system for accurately recording, coding, and reporting patient conditions in the medical record.
  • Participate in annual review for quality and completeness.
  • Processes all diagnostic testing reports and verifies all provider Electronic Signature Authorizations are completed ensuring copies are sent to referring physicians if needed.
  • Faxes copies of reports and requested information as needed.
  • Performs other related duties as assigned.
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