This position will be responsible for the scheduling of on-site appointments with the specialty clinic as well as off-site appointments with contracted medical providers for the Arizona State Hospital and ACPTC. Obtain prior authorization for procedures from AHCCCS plans. Verify appointments kept/missed. Communicates with organizations in regards to any pass-through billing requirements. Track and compile clinic appointment data to assist with billing verification. This position may assist with the following: assist providers in the specialty clinic with optical, podiatry, room setup and chaperoning of patients while in the clinic area; ensuring exam rooms are stocked and equipment is ready; maintaining supplies and equipment for clinics. May participate in quality assurance and utilization review.
- Schedules clinic appointments for patients, communicates with health plans to obtain prior authorization for outside clinic services, assures correct ICD-10/CPT Coding utilized throughout the process. Tracking and compiling clinic appointment data to assist with billing verification. Will transport patients to appointments as needed.
- Communicate effectively with providers and other team members. Assist with referral work flow, including documentation, prior authorization, notification of patient of appointments and work queue management. Alert providers of denials or delays In obtaining ordered appointments.
- May assist providers in setting up patient rooms for optical, podiatry, audiology.
- Assist the unit clerks with issues related to appointment scheduling and training.
- Reports/documents utilization review and other performance related data. Participates In facility-wide performance improvements.
- Other duties as assigned as related to the position (typically 5% - 10%)
Knowledge of:
-Medical Terminology procedures, medical coding, and billing.
-Medicare regulations & Joint Commission Licensing standards.
-Performance Management (PM), and Continuous Quality Improvement (CQI) and
Lean methodologies.
Skill in:
-Excellent oral and written communication including interpersonal skills.
-Interact with patients, professional and paraprofessional hospital staff, as well as
outside agencies/medical facilities/medical providers.
-Computer skills including EMR(s), Microsoft products, general office equipment .
Ability to:
-Adapt quickly to changes in priorities, to remain calm in stressful situations/
emergencies.
-Problem solve and work independently; ability to deal with patients sympathetically .
-Perform specialty tasks as required.
-Support a diverse multi-cultural workforce that reflects the community, promotes equal
opportunity at all levels of public employment, and creates an inclusive work environment that enables all individuals to perform to their fullest potential free from discrimination.
Associates degree in a medical or related field OR a certificate from an accredited medical assistant program and 2 years relevant/related experience in a clinic setting.
- Must be able to obtain and maintain CPR and NVCI certification.
- Must possess a valid level one fingerprint clearance card issues pursuant to A.R.S.41-1758.07 or must apply for a level one fingerprint clearance card within seven working days after beginning employment.
The State of Arizona provides an excellent comprehensive benefits package including:
− Affordable medical and dental insurance plans
− Paid vacation and sick time
− 10 paid holidays per year
− Wellness program and plans
− Life insurance
− Short/long-term disability insurance
− Defined retirement plan
− Award winning Infant at Work program
− Credit union membership
− Transit subsidy
− ADHS Student Assistance Pilot Program
Critical Services Premium Pay Stipend
This position may be eligible to receive a temporary stipend of 10% in addition to base pay beginning in December 2021. If eligible, the temporary stipend amount will be calculated using the employee's base rate of pay and will be reflected in each paycheck. It is anticipated that this temporary stipend will be available through June 30, 2022.
For a complete list of benefits provided by The State of Arizona, please visit our benefits page
To help you build a financially secure future, the State makes monthly contributions to finance your retirement benefit. The State will make a contribution to the ASRS in an amount equal to your contribution. In other words, you and the State will each pay 50% of the total cost of the benefit. New State employees have a 27 week wait period for contributions to begin.
Arizona State Government is an EOE/ADA Reasonable Accommodation Employer. Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by calling (602) 542-1085. Requests should be made as early as possible to allow sufficient time to arrange the accommodation. DHS is an Equal Employment Opportunity Employer. All newly hired employees will be subject to E-Verify Employment Eligibility Verification.