Authorization Receptionist

SUMMARY:

Under the supervision of the Authorization Manager, the PACE Southeast Michigan (PACE SEMI) Receptionist responds to telephone inquiries from Hospitals, Providers and other internal and external customers. The Receptionist forwards calls to the appropriate areas or individuals for follow up.

SPECIFIC DUTIES AND FUNCTIONS:

• Handles all incoming telephone activity, including answering phones promptly, according to PACE SEMI protocol, manages call volume and opens and closes conversations appropriately.
• Records messages thoroughly, accurately and legibly and initials messages.
• Tracks discharge requests and similar communication using appropriate log, noting when information is received and/or passed on to appropriate parties.
• Escalates issues as needed to avoid delays in participant transitions of care, service delivery, or other critical needs.
• Obtains relevant information using the Electronic Medical Record, CarePort, and other systems as applicable.
• Assists and fills in for Authorization Administrative Assistant where needed.

KNOWLEDGE, SKILLS AND ABILITIES:

• Requires a high school diploma or equivalent.
• Have knowledge, skills and competencies to work effectively with populations of diverse background and a variety of ages.
• Requires the ability to function in a multi-task environment.
• Must be self-directed, flexible and committed to the team concept.
• Must demonstrate teamwork, initiative and willingness to learn.
• Must possess interpersonal and communication skills.
• Requires basic knowledge of Microsoft Windows programs such as Word and Excel.
• Must be willing to instruct others and be open to new learning experiences.

WORK ENVIRONMENT:

• Works in a clinical office setting with some exposure to communicable disease.