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Spectrum Health Patient Services Rep, Referral Scheduling, Gastro, Lake Drive in Grand Rapids, Michigan

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Job Description

Job Summary

Provides clerical support in complex matters to assist in the delivery of quality health care services.

Essential Functions

  • Responsible for complex patient/customer problem solving, including high level discernment when registering patients in treatment rooms.

  • Performs administrative functions, including, but not limited to: assists with patient check-out; schedules complex patient appointments, incoming/outgoing referrals, surgeries and tests, including medical record review of incoming referrals; builds provider schedule template; navigates external patient referral portals; reconciles multi-department deposit.

  • Obtains insurance authorizations and/or verifies that prior authorization has been obtained; assists with retroactive insurance denials/appeals.

  • Responsible for complex EMR/EHR scanning and Right Fax faxing and uploading to EPIC.

  • Responsible for identifying and reminding patients of health maintenance gaps.

  • Ability to perform the role of Patient Services Representative, Associate when necessary.

  • Actively participates in safety initiatives and risk mitigating measures where appropriate and completes all position and unit safety related competencies and requirements on a timely basis.

Qualifications

  • Required High School Diploma or equivalent

  • 2 years of relevant experience insurance billing, access management, patient financial services, electronic health records, lab service support or other related experience Required

Primary Location

SITE - Hughes Professional Center - 4100 Lake Drive - Grand Rapids

Department Name

Gastroenterology - Grand Rapids

Employment Type

Full time

Shift

Day (United States of America)

Weekly Scheduled Hours

40

Hours of Work

8 am to 5 pm

Days Worked

Monday to Friday

Weekend Frequency

N/A

Accommodation Notice: If you are a qualified individual with a disability, you may request a reasonable accommodation in Spectrum Health's application process. Contact us at 616-486-SHHR (7447).

Spectrum Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, sexual orientation, veteran status, or any other legally protected

category. See more here (https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf) .

Who We Are

Spectrum Health is a nationally recognized not-for-profit health system, offering a full continuum of health services through our health plan, medical group and hospital group. As an integrated health system, we are able to work together across all facilities, employees and providers to create exceptional, consumer-focused interactions.

Spectrum Health is redefining what it takes to improve the health of our communities and introducing new and innovative ways for consumers to access high-quality, low-cost care so that they can connect with us for a lifetime of health.

We strive to provide one Spectrum Health experience: a consistent, high-quality, seamless health journey for consumers; no matter where, when or how they interact with us. The result is better health outcomes for the thousands of individuals, families and communities we serve.

We are the region’s largest employer, with corporate offices located in Grand Rapids, Michigan. Spectrum Health Hospital Group and Spectrum Health Medical Group are consistently recognized for the exceptional care they provide. Priority Health is among the largest health system-sponsored health plans in the U.S. and offers extensive experience serving large and small employer groups, individuals, Medicare Advantage, Healthy Michigan Plan and Medicaid populations.

Since 2010, Spectrum Health has been listed five times among the 15 Top Health Systems in the U.S. by Truven Analytics™. Click here (https://www.spectrumhealth.org/about-us/quality-safety-and-patient-experience/awards) to see a complete list of our safety, quality and patient experience awards.

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