Quality PA Clinical Float

QUALIFICATIONS

      Education

      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

ROUTINE RESPONSIBILITIES

      Behavioral Standards

      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