Advanced Medical Support Assistant

The Advanced Level Medical Support Assistant (AMSA) position serves as a Consult Coordinator and is a foundational role within the continuum of patient care. The MSA works collaboratively with other members of expanded health care teams (i.e., PACT, specialty care) including Community Care providers, pharmacists, social workers, dieticians, behavioral health staff, etc. to provide a robust interdisciplinary approach to care.

This position is located offsite on Phelan Avenue in Memphis, TN.

The Advanced MSA works collaboratively in an interdisciplinary coordinated care delivery model and assists the clinical providers in coordinating certain administrative details, appointment schedules and clinic consult services; customer service and other duties assigned for the proper and timely treatment of patients and maintain appointment schedules for multiple Community Care clinics. Major duties include, but are not limited to:

* Supports patient safety standards using the correct Veterans Affairs identification of all patients using two forms of identification, name and full Social Security Number.

* Explains the VA's mandate to collect insurance information to veterans, their families, and other eligible patients.

* Sets the tone for perception concerning quality of healthcare services at the VA. A high degree of tact and diplomacy is required when dealing with veterans who have multiple health problems and who may be frustrated with the administrative process associated with diagnosis and treatment.

* Generating authorizations for pre-authorized outpatient, unauthorized and emergency care claims, while making eligibility determinations for the various programs in Community Medical Care.

* Utilizes FBCS and VistA to manage and coordinate appointment management with the creation of authorizations as outlined by the Community Care Coordination National SOPs.

* Resolves issues with veterans, vendors and clinical staff to ensure appropriate care is scheduled and authorized at Community Care facilities.

* Schedules appointments accurately and timely.

* Collaborates with VA clinicians, third party administrator (TPA) and community clinicians to obtain clinical documentation and direction to further coordinate, plan, organize, and direct outpatient/inpatient community care and complex outpatient/inpatient diagnostic procedures.

* Coordinates follow-up care at the direction of the community clinicians/vendor, TPA and the VA clinicians including providing evaluation and diagnostic reports to VA clinicians for continuation of care and verification of care authorized.

* Contacts clinicians, hospitals, pharmacies, Veterans and their accredited representatives to obtain supportive information for authorization of care, i.e., CPT codes, vendor information, additional clinical information, clinical requirements.

* Researches problem cases and rejected payments often using ingenuity and foresight in their resolution.

Work Schedule:

Monday - Friday 8:00am - 4:30pm

Telework:
Ad-hoc telework may be approved upon supervisor discretion.

Virtual:
This is not a virtual position.

Functional Statement #: 50128-F

Relocation/Recruitment

Incentives:

Not Authorized

Permanent Change of Station (PCS):
Not Authorized