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HealthPartners Geriatrics Referral Assistant in Bloomington, Minnesota

HealthPartners is currently hiring a Clinic Assistant in our Community Senior Care Team QUALIFICATIONS: REQUIRED TESTING: Medical terminology test 35 WPM typing REQUIRED: Completion of Medical Secretary, Nursing Assistant, Medical Assistant, Medical Technician or similar training program One year medical office experience including benefits administration, medical coding process, and customer relations Demonstrated strength in patient/public service and managing complex relations Keyboard proficiency Familiarity with computers and computerized office records systems Experience in organizing work and functioning with multiple priorities and interruptions Ability to communicate difficult information with sensitivity via the phone, fax, and email PREFERRED: Two years appropriate HealthPartners experience including exposure to health care insurance contracts and knowledge of the medical delivery systems and services. Experience with Epic applications (i.e. Resolute, Prelude & EpicWeb). PHYSICAL REQUIREMENTS: Ability to sit for prolonged periods of time. Oral and written communication with customers requires adequate speech, vision, and hearing. Proficiency in English is required. Use of a telephone and computer terminal also requires adequate hand writing and manual dexterity skills. POSITION PURPOSE: Service excellence is to be centered on patient care and patient relationships and is the responsibility of all employees. Teamwork is the norm and all employees will be held accountable to work as effective team members. Provide clerical support and coordination in the HealthPartners referral and authorization process for patients followed by Geriatric Services. Maintain data integrity of the Access database (containing patient demographic and insurance information) by ensuring that all the information is being recorded in a timely matter and is accurate. ACCOUNTABILITIES: Set up and maintain referral authorizations for Nursing Home residents and authorization requests to referral consultants and vendors. Ensure accuracy of data system including but not limited to screening referrals for completeness, coding of diagnosis, procedures on the referral form for data entry and entry of appropriate information into system. Verify patient information for accuracy and completeness. Identify problems with process side of referral as well as authorization requests. Notify appropriate management staff when necessary. Investigate patient complaints regarding the referral process. Identify areas in the referral process where there could be improvement or efficiencies. Provide clerical coordination between HealthPartners and vendor or referral consultant for authorization requests, secondary referrals, and/or added services. Participate in appropriate meetings to stay current with the constant changes in HealthPartners authorizations, Nursing Home referrals, ICD9 and CPT coding, and the computerized billing system. Respond to inquires regarding Transitional Care department, provide clerical support to Transitional Care Center medical teams and Geriatric leadership staff. Serve as a resource for LTC, TCC, and Geriatric Psychiatry providers for Advance Beneficiary Notice (Medicare primary pts.) and Notice of Non-Coverage (Medicare managed care products). Interface with and respond to internal departments (i.e. Member Services, Claims, Membership Accounting, Government Programs, Patient Accounting, Nurse Navigators, Inpatient Case Management) as an information resource on referral authorizations for Nursing Home residents and clarifying patient benefits. Participate in appropriate orientation and/or training of clinic staff related to the authorization system. Daily, collect information regarding Gerontological Advanced Practice Care Coordinator (GAPCC) census at Transitional Care Center and bed availability to assist the GAPCC supervisor with staffing. Daily, collect patient demographic and insurance information on the patients seen by our Geriatr c providers. Verify the patient's insurance and register them into Prelude and the Access database. Perform maintenance as needed on the patient's insurance record to ensure accurate billing. Perform charge ticket entry into Resolute. This includes paging the off-site provider if the charge ticket is incomplete. Maintain data integrity of the Transitional Care Center Access database. Track and report "bed availability" in network Transitional Care Centers. Coordinate the schedules for MD rounds at all Transitional Care Centers. Assist Geriatric Psychiatry team with answering calls and taking messages off the provider "report-off line," which may result in making changes to the provider's appointment schedule. Perform other duties as assigned. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.

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