Medical Office Assistant - Oncology

Toledo Clinic•Maumee, OH

About The Position

The Medical Office Assistant is primarily located within the Billing/Precertification Department and has crossover responsibilities with the Pharmacy. The role obtains and coordinates authorizations for radiology, laboratory and genetic testing, medications, and out-of-network services. It also supports follow-up for radiology and specialty laboratory services, including medical-necessity and coding corrections, and maintains medical records by scanning and importing them into the Oncology and Pharmacy systems. The assistant follows clinic policies and procedures, completes work within established time frames, communicates effectively, and works collaboratively with patients and colleagues.

Requirements

High school diploma or GED.
Credentialed as a Medical Assistant, such as CMA or RMA.
Past experience working in a medical office.
Knowledge of insurance benefits and rules.
Knowledge of the insurance prior authorization process.
Knowledge of insurance web portals.
Excellent written and verbal communication skills.
Ability to communicate assertively when addressing concerns or problems.
Ability to perform job duties effectively with minimal direction.
Ability to work as a team member with co-workers and peers.
Sensitivity to the cultural diversity of patients, staff, and visitors.
Ability to establish and maintain effective working relationships with patients and employees.
Flexibility to adjust to a constantly changing work environment.
Consistently arrive in appropriate, professional attire, complete tasks within established time frames, and adhere to clinic policies and procedures.

Responsibilities

Arrive at work on time and adhere to the regular work schedule.
Obtain prior authorizations for radiology orders as needed and schedule peer-to-peer calls with providers when needed.
Obtain prior authorizations for laboratory and genetic testing orders as needed and schedule peer-to-peer calls with providers when needed.
Obtain medical and pharmacy medication authorizations as needed.
Obtain out-of-network authorizations as needed.
Assist with other authorizations within the departments as needed.
Facilitate follow-up for radiology and specialty laboratory services, including medical-necessity and coding corrections.
Scan and import medical records into the Oncology and Pharmacy systems.
Seek appropriate tasks after primary tasks are completed and assist co-workers as needed.
Perform other duties as assigned.