Physician Support Representative 3

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.

Job Location (Full Address):

601 Elmwood Ave, Rochester, New York, United States of America, 14642

Opening:

Worker Subtype:

Regular

Time Type:

Full time

Scheduled Weekly Hours:

40

Department:

500305 Strong Internal Medicine

Work Shift:

UR - Day (United States of America)

Range:

UR URCA 205 H

Compensation Range:

$20.30 - $27.41

Responsibilities:

A critical member of a collaborative care team, the Physician Support Representative III (PSR) provides specialized administrative support to Strong Internal Medicine. Working with limited direction, the position reviews patient records, gathers supporting documentation, coordinates incoming referrals and obtains prior authorizations for medications and designated visits, collaborates with providers, pharmacies, and the practice manager to resolve referral and authorization issues and support timely access to care. The role also processes related paperwork, maintains accurate patient documentation, and manages assigned provider schedules. As a member of the collaborative care team, the position provides coverage for other support staff as needed while demonstrating UR Medicine’s ICARE values.

ESSENTIAL FUNCTIONS

• Processes incoming referrals in the ambulatory referral workqueue
  • Responsible for managing incoming referrals for establishment of care
  • Works with practice manager to monitor provider panels for accepting new patients
  • Responsible for dietitian referrals 

• Obtains prior authorizations for medications and visits (UHC)
  • Reviews chart for supporting documentation for medication and for history of medications tried
  • Completes authorizations via fax or Cover My Meds as appropriate
  • Collaborates with pharmacies toward resolutions
  • Reviews insurance formulary for covered alternate medications
  • Discuss reasoning with provider if unable to answer all questions following research

• Processes incoming faxes and paperwork for associated incoming referrals and prior authorizations
  • Reviews patient chart and faxes requested documentation 
  • Provides paperwork to appropriate provider for completion
  • Ensures paperwork is complete
  • Adds demographic and clinic information for provider
  • Obtains attending provider co-signature for resident paperwork
  • Processes Incoming faxes
  • Ensures a release of information is obtained as appropriate
  • Sends paperwork to be scanned into patient charts
  • Faxes or mails return paperwork to patients as appropriate

• Manages and optimizes clinic schedules for assigned providers
• Provides coverage for Provider-based Physician Support Representatives and Outpatient Access Representatives as necessary
• Other duties as assigned.

MINIMUM EDUCATION & EXPERIENCE

• High School diploma and 2 years of relevant experience required
• Or equivalent combination of education and experience
• Medical Terminology, experiences with surgical/appointment scheduling software (such as Flowcast), and electronic medical records preferred

KNOWLEDGE, SKILLS AND ABILITIES

• Demonstrated customer relations skills required

The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University’s Mission to Learn, Discover, Heal, Create – and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.