Overview
Supports multiple grant and Infectious Disease programs by performing programmatic and administrative duties as described below.
Responsibilities
Verify patient eligibility, research HIV related co-morbidities, authorize and process requests for Ryan White patient specialty referrals and lab services.
Provide ICD codes to lab service companies as needed.
Review patient claims for allowability, insurance filing and payment. Determine allowable payment rates using the Virginia Department of Medical Assistance Services (DMAS) website.
Using the procurement system, code and process patient claims, distinguishing between multiple grants and object codes.
Using the internal Access payment database, prepare mail merge letters to specialists explaining reasons for payment amounts and denials.
Follow-up with external specialists on patient procedures and appointments
Enter client level data into CAREWare (Federal data tracking system) and in-house Access data bases. Scan records and add clinical items in Allscripts
Determine medical insurance coverage through Emdeon and other insurance carrier systems
Order division office supplies, business cards, staff licenses, memberships and conferences thru OneSource
Manage arrangements for meetings
Receive, sort, and process mail for distribution with the infectious disease division
Assist Division Director with preparation for lectures and presentations
Facilitate telecommunications and information technology additions and changes.
Process travel advance and reimbursement requests
Prepare / update worksheets to track employee and patient information
Acts as back up to Program Manager of Grants when needed
Order medical supplies for off site clinics
Perform other duties as required.
Qualifications
Degree preferred with experience, preferably in a medical or grant setting. Knowledge of HIV medical care delivery system desired but not required.
Candidate should be experienced with Internet Explorer, Microsoft Excel, and Microsoft Word, have familiarity with Microsoft Access and be able to distinguish patient enrollments between various grants.
The division is funded by multiple grants and attention to detail is critical program / grant compliance.
Location : Location
US-VA-Norfolk
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Supports multiple grant and Infectious Disease programs by performing programmatic and administrative duties as described below. Acts as back up to Program Manager of Grants when needed. The division is funded by multiple grants and attention to detail is critical program/grant compliance. ...
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