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Company: MedStar Medical Group
Location: Baltimore, MD
Career Level: Entry Level
Industries: Not specified
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Description

Provides administrative and other support including accurate and efficient management of incoming calls and faxes. Responsible for managing outgoing correspondences and special projects to support the Case Management process. We recruit, retain, and advance associates with diverse backgrounds, skills, and talents equitably at all levels.
Education

  • High School Diploma or GED required or
  • equivalent; required and
  • knowledge of medical terminology preferred
Experience
  • Less than 1 year 6 months clerical/office experience, including customer service experience. required
Knowledge, Skills, and Abilities
  • Ability to type 40 words per minute.
  • Basic computer skills, including familiarity with MS Word and Excel.
  • Ability to use multiple computer applications.
  • Ability to operate standard office equipment.
  • Excellent verbal and written communication skills.
  • Acts as a liaison to providers and members to communicate status of authorization decisions or need for additional information.
  • Assesses and identifies caller needs and/or problems with efficiency, courtesy, and documents completely.
  • Assists Case Managers with data management related to pre-authorization requests for medications, procedures, DME and hospitalizations. Accountable for reviewing and screening incoming documents and distribution to appropriate staff.
  • Completes call processing in a timely manner per MSFC guidelines.
  • Conducts member and provider surveys and collects data for analyzing.
  • Contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards, and safety standards. Complies with governmental and accreditation regulations.
  • Demonstrates behavior consistent with MedStar Health mission, vision, goals, objectives and patient care philosophy.
  • Disseminates messages in an appropriate and timely manner.
  • Ensures complete communication (closes the loop and follow up) between key customer groups, including internal and external customers.
  • Enters accurate data entry utilizing the clinical software system.
  • Participates in team meetings and committees in MSFC.
  • Performs other duties as assigned.
  • Processes telephone inquiries and communicates accurate knowledge of policies and procedures. Projects a positive image on the telephone to internal /external customers and in the community. Represents the best of MSFC at all times and to all customers.
  • Serves as a key member of the Case Management Team and actively manages incoming calls to collect appropriate information or to courteously direct the call to the appropriate staff.


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