Medical Assistant (Credentialed/Certified) - MSHC - Main

University of Illinois Chicago
United States, Illinois, Chicago
Mar 20, 2025
Medical Assistant (Credentialed/Certified) - MSHC - Main Medical Assistant (Credentialed/Certified) - MSHC - Main Hiring Department: MSHC - Main Location: Chicago, IL USA Requisition ID: 1029884 FTE: 1 Work Schedule: M-F 8A-6P, SOME SAT Shift: Flex Days # of Positions: 3 Workplace Type: On-Site Posting Close Date: 04/02/2025 Salary Range (commensurate with experience): $24.83 - 26.88 / Hourly Wage About the University of Illinois Hospital & Health Sciences System (UI Health) The University of Illinois Hospital & Health Sciences System (UI Health) provides comprehensive care, education, and research to the people of Illinois and beyond. A part of the University of Illinois Chicago (UIC), UI Health comprises a clinical enterprise that includes a Joint Commission-accredited tertiary care hospital and outpatient clinics, and the Mile Square Health Center network of federally qualified health centers. It also includes the seven UIC health science colleges: the College of Applied Health Sciences; the College of Dentistry; the School of Public Health; the Jane Addams College of Social Work; and the Colleges of Medicine, Pharmacy, and Nursing, including regional campuses in Peoria, Quad Cities, Rockford, Springfield, and Urbana. UI Health is dedicated to the pursuit of health equity. Learn more: https://hospital.uillinois.edu/about-ui-health Benefits eligible positions include a comprehensive benefits package which offers: Health, Dental, Vision, Life, Disability & AD&D insurance; a defined benefit pension plan; paid leaves such as Vacation, Holiday and Sick; tuition waivers for employees and dependents. Click for a complete list of Employee Benefits. Position Summary: The Certified Medical Assistant (Referral Coordinator) will manage all referral requests for the Mile Square Health Center (MSHC) clinics. He/she will review referral requests for medical necessity, ensure prior documentation is received, input data into electronic medical record, and issue referral authorizations. The Certified Medical Assistant (Referral Coordinator) will work with internal and external customers to ensure patient records are complete and all documentation is received for care delivery. Duties & Responsibilities: Receive and handle all referral requests from Providers and outside vendors in a timely manner. Review requests against medical necessity criteria for appropriateness of care. Communicate, correspond, and distribute information to Providers, patients, and other appropriate parties to ensure that proper documentation exists prior to referral authorization and communicate required information to insurance companies as needed. Input all referral requests ensuring accurateness of medical terminology, ICD-10, and CPT codes for patients to receive specialty care and procedures into electronic medical record. Compile and analyze departmental statistics and reports. Issue referral authorization within appropriate timeframe for routine, urgent, and emergent requests. Provide referral authorization to external Providers and patients per MSHC polices/procedures and other contracted client processes. Maintain pending referral authorizations providing follow-up until pending authorizations are approved. Submit to insurance companies' appropriate medical record documentation to support requested service(s). Maintain clinical documentation for insurance company pre-certifications. Collect records from outside Providers to ensure medical records are complete and to provide documentation/evidence for closure of gaps in care. Maintain updated knowledge of referral requirements for all MSHC contracted insurance plans. Act as a resource to patients and staff regarding managed care requirements. Verify member's insurance eligibility and benefits for patients ensuring systems are accurately updated. Update patient demographics as needed. Maintain confidentiality of all patient records and adhere to federal/state HIPAA policies and procedures. Identify patterns or problems causing delays in referrals and provide suggestions to Manager on how to streamline the referral process. Attend all MSHC meetings related to insurance, referrals, precertification, etc. Work closely with other Referral Coordinators as a team. Respond to patient inquiries providing factual information via phone/in person; obtain patient information regarding illness and health problems; and relay information as appropriate for disposition of the patient. Provide telephonic triage of patient messages through the electronic medical record system. Maintain patient files and medical records, document laboratory data, and compile periodic statistical reports for analysis as needed. Dispatch messages to other departments and make appointments for patients requiring services in other departments; initiate follow-up communication for tests or procedures as directed. Perform other related duties and participate in special projects as assigned. Minimum Qualifications Required: High school graduation or equivalent. Possession of a current/valid certification as a Certified Medical Assistant by an approved certifying board as defined by the employing institution. The approved certifying boards include; American Association of Medical Assistant (AAMA), American Medical Technologists (AMT), National Center for Competency Testing (NCCTI) and/or National Health career Association (NHA). Possession of a current/valid American Heart Association (AHA) Basic Life Support CPR Certification. Preferred Qualifications: Two to Three (2-3) years of clinical outpatient experience Flexibility to work occasional Saturdays and overtime Bilingual in Spanish Knowledge of basic medical terminology Knowledge of basic first aid principles, methods, and techniques Knowledge of aseptic and sterilization techniques Knowledge of inventory procedures Knowledge of Electronic Health Record (EHR) systems Skill in the operation of sterilizing equipment and maintaining appropriate documentation records Ability to make decisions based on urgency of the situation and in accordance with work procedures and hospital/clinic policies Ability to follow oral and written instructions Willingness to, and skill in, dealing effectively with patients, hospital staff, and other persons from inside or outside hospital/clinic Ability to provide quality patient care and customer service To Apply: For fullest consideration click on the Apply Now button, please fully complete all sections of the online application including adding your full work history with specific details of your duties & responsibilities for each position held. Fully complete the education, licensure, certification and language sections. You may upload a resume, cover letter, certifications, licensures, transcripts and diplomas within the application. Please note that once you have submitted your application you will not be able to make any changes. In order to revise your application you must withdraw and reapply. You will not be able to reapply after the posting close date. Please ensure the application is fully completed and all supporting documents have been uploaded before the posting close date. Illinois Residency is required within 180 days of employment. The University of Illinois System is an equal opportunity employer, including but not limited to disability and/or veteran status, and complies with all applicable state and federal employment mandates. Please visit Required Employment Notices and Posters to view our non-discrimination statement and find additional information about required background checks, sexual harassment/misconduct disclosures, and employment eligibility review through E-Verify. The university provides accommodations to applicants and employees. Request an Accommodation To apply, visit https://uic.csod.com/ux/ats/careersite/1/home/requisition/14296?c=uic Copyright 2024 Jobelephant.com Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-8b79e3141d55344baee7a14f27e74e2d