Education/Experience:
Equivalent to graduation from high school and three (3) years of experience in the health care field as a medical office assistant or comparable experience.

Licensing/Certification Requirements:
None required.

Preferred: (Recent Experience, within the last 5 years, Experience with the following)

• Recent experience with local insurance carriers and their guidelines in referral management i.e. Optum products, Medicare Advantage Plans & Medicaid HMO Plans;
• Recent experience in working with ICD10;
• Two years recent experience processing physician referrals, including obtaining prior authorizations either via web portal or fax;
• Recent experience with hands on communication with patients, physicians and other clinical staff to complete referral;
• Recent experience with multiple specialties.

Knowledge of:
Medical terminology; physician medical specialties; community medical/health care services; computers and associated software; department and hospital safety practices and principles; infection control policies and practices; patient rights; department and hospital emergency response policies and procedures.

Skill in:
Organizing and prioritizing work; maintaining information/data; using a personal computer and application software programs; networking with other health care organizations; communicating with a wide variety of people from diverse socio-economic and ethnic backgrounds; establishing and maintaining effective working relationships with all personnel contacted in the course of duties; efficient, effective and safe use of equipment.

Physical Requirements and Working Conditions:
Mobility to work in a typical office setting and use standard office equipment, stamina to remain seated for long periods of time and maintain concentration, vision to read printed materials and a VDT screen, and hearing and speech to communicate effectively in person and over the telephone. Strength and agility to exert up to 10 pounds of force occasionally and/or an eligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this classification.