Customer Service Representative Senior/Intermediate - Authorization

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How to Apply

A cover letter is required for consideration for this position and should be attached as the first page of your resume. The cover letter should address your specific interest in the position and outline skills and experience that directly relate to this position.

Summary

This position is primarily responsible for processing and obtaining prior authorizations for all Medicare, Medicaid and Third-Party payer equipment orders delivered by WSS.  This includes but is not limited to preparing, sending, and receiving authorizations, and all paperwork required to process the order. 

Mission Statement

Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally.  Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.

Why Join Michigan Medicine?

Michigan Medicine is one of the largest health care complexes in the world and has been the site of many groundbreaking medical and technological advancements since the opening of the U-M Medical School in 1850. Michigan Medicine is comprised of over 30,000 employees and our vision is to attract, inspire, and develop outstanding people in medicine, sciences, and healthcare to become one of the world's most distinguished academic health systems.  In some way, great or small, every person here helps to advance this world-class institution. Work at Michigan Medicine and become a victor for the greater good.

What Benefits can you Look Forward to?

• Excellent medical, dental and vision coverage effective on your very first day
• 2:1 Match on retirement savings

Responsibilities*

Characteristic Duties and Responsibilities:

• Essential
  • Obtain and process pricing quotations from various manufacturers.
  • Enter order, product, HCPC coding, pricing, and manufacturer information into the computer system.
  • Complete patient demographics and appropriate ICD10 codes in computer system.
  • Prepare Rx for Physician signature via method set by the department.
  • Process orders per department guidelines.
  • Participates in quality improvement or Lean project(s).
  • Assists in department wide/new employee training.
• Other Related Duties:
  • Assist with updating products in computer for inventory.
  • Work open order report and various reports as needed.
  • Establish and maintain electronic files per department guidelines.
  • Follow department guidelines for phone, fax, and email communication.
  • Complies with all University of Michigan and departmental standards and expectations.  
  • Supports the department?s commitment to continuous improvement activities and principles through positive and respectful contribution in all problem-solving and change processes at Home Care Services.
  • Performs other duties as assigned.

Required Qualifications*

• High school diploma or equivalent
• Good working knowledge of medical terminology.
• Ability to manage multiple functions simultaneously.
• Excellent interpersonal skills.
• Demonstrated proficiency with computer skills including keyboarding and Microsoft programs.

Intermediate

• 2-5 years of professional and/or educational experience.

Senior

• 5-8 years of professional and/or educational experience.

Physical Requirements:

• The employee will be able to perform the assigned duties and responsibilities with or without reasonable accommodations.
• Ability to read, write, speak, and comprehend English.
• Manual dexterity to perform required activity proficiently and safely.
• Ability to sit for an extended period; greater than four hours.

OCCUPATIONAL HAZARD INFORMATION:

All clinical and delivery staff carry out assignments in patient's homes, healthcare institutions, and HCS offices. Drives personal automobiles to these various work site locations in all weather conditions regularly.

This description is intended to indicate the kinds of tasks and levels of work and/or difficulty that will be required of positions given this title and shall not be construed as declaring what the specific duties and responsibilities of any position shall be. It is not intended to limit or in any way modify the right of any supervisor to assign, direct, and control the work of employees under their supervision.

This description is intended to indicate the kinds of tasks and levels of work and/or difficulty that will be required of positions given this title and shall not be construed as declaring what the specific duties and responsibilities of any position shall be. It is not intended to limit or in any way modify the right of any supervisor to assign, direct, and control the work of employees under their supervision.

Must comply with all Michigan Medicine Occupational Health requirements including annual influenza vaccination program.

Desired Qualifications*

Intermediate

• Knowledge of medical terminology.
• Previous experience working within health care 
• 3 years or more of experience in Complex Rehabilitation reimbursement/insurance coverage is desired. 

Senior

• Experience working with health care professionals is preferred.
• Experience obtaining insurance authorizations and appealing denials.
• 5 years of experience in Complex Rehabilitation reimbursement/insurance coverage is desired.

Work Locations

This position is located at 2850 South Industrial Hwy. Ann Arbor, MI. 48104

Underfill Statement

This position may be underfilled at a lower classification depending on the qualifications of the selected candidate.

Background Screening

Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings.  Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses.

Application Deadline

Job openings are posted for a minimum of seven calendar days.  The review and selection process may begin as early as the eighth day after posting. This opening may be removed from posting boards and filled anytime after the minimum posting period has ended.

U-M EEO/AA Statement

The University of Michigan is an equal opportunity/affirmative action employer.