Authorization Scheduling Coordinator - Admitting , Roundhill NV

Barton Healthcare System•Zephyr Cove, NV

40d•Onsite

About The Position

Analyzes patient’s ability to pay through verification of insurance. Pre-authorizes procedures and surgeries for facility and physician. Updates patient registration and completes/updates forms as needed. Completes other scheduling functions as needed.

Requirements

High School Diploma or GED preferred
Minimum two years previous office administrative/clerical experience preferred.
Requires detailed knowledge of medical office processes preferred
Completion of Medical Terminology course, or willingness to complete course within 6 months, or sufficient previous one year experience in a healthcare environment to enable incumbent to be able to read and understand common medical terms required.
Must be advanced computer typing and literacy.
Reading and writing skills, organizing and filing, professional phone etiquette, and strong customer service skills.
Knowledge of healthcare insurance preferred
Demonstrates organizational and communication/customer service skills.
Requires critical thinking skills, decisive judgement and the ability to work with minimal supervision.
Must be able to work in a stressful, high paced environment and can take the appropriate action.
In compliance with patient safety standards, must be able to effectively communicate in English; Bilingual abilities preferred.

Responsibilities

Provides consistently exceptional care at all times.
Ability to prioritize, multi-task and handle emergent situations and critical deadlines.
Answers phones, routes callers, takes messages, provides routine information to callers, and returns calls promptly.
Exercises judgment as to the urgency and nature of calls and ensures that all messages are relayed to the appropriate staff promptly and communicates problems as they arise through proper channels.
Interviews patient and/or guarantor to obtain complete and accurate demographic/financial information to determine patient’s ability to pay for services.
Screens Self-Pay and underinsured patients to determine their financial needs, referring patient to appropriate department for government assistance or Financial Assistance program.
Run cost estimates for applicable services, effectively explain estimates and insurance benefits to patients and request prepayment for upcoming surgeries and/or procedures.
Verifies medical necessity of Medicare patients using current online software.
Contacts insurance company to obtain benefits, eligibility and any necessary authorizations.
Works closely with providers in offices in order to obtain valid authorization for services.
Manages referral list and accurately updates referrals.
Effectively explains cost estimates, insurance benefits, and advanced beneficiary notices to patients.
Effectively collects payments and posts them into cash drawer.
Faxes appropriate documentation to insurance companies to assure timely response.
Coordinates with other Barton departments to schedule patients (i.e.-surgical, inpatient and hospital follow up appointments).
Coordinates multiple appointments in order to offer consecutively scheduled services.
Timely corrects registration errors in AhiQa.
Communicates problems as they arise through proper channels.
Performs assigned clerical duties in an accurate and timely manner such as faxing, photocopying, typing, computer data entry and retrieval.
Proficient in the use of the all hospital associated software used to complete tasks.
Responds to the needs of the department by performing other duties, as necessary.