Authorization Scheduling Coordinator - Community Health Center

Barton Healthcare SystemSouth Lake Tahoe, CA
$47,154 - $68,370Hybrid

About The Position

Analyzes patient’s ability to pay through verification of insurance, arranges payment plans and investigates pay options through third party resources. Pre-authorizes procedures and surgeries for facility and physician. Schedules follow up appointments and coordinates multiple appointments for patients throughout the Patient Centered Medical Home (PCMH) and ancillary services. Updates patient registration and completes/updates forms as needed.

Requirements

  • High School Diploma or GED preferred
  • Minimum two years previous office administrative/clerical experience preferred
  • Requires detailed knowledge of business office processes
  • Patient Centered Medical Home experience preferred
  • Typing and computer literacy
  • Reading and writing skills, organizing and filing, professional phone etiquette
  • Sufficient computer skills are required to complete an online application and the pre-employment annual learning requirements
  • In compliance with patient safety standards, must be able to effectively communicate in English

Nice To Haves

  • Bilingual abilities preferred

Responsibilities

  • Provides consistently exceptional care at all times.
  • Ability to prioritize, multi-task and handle emergent situations and critical deadlines.
  • 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 Helping Hand program.
  • Arranges Payment Plans.
  • Requests deposits 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
  • Proficient in the use of the all hospital associated software used to complete tasks.
  • Faxes appropriate documentation to insurance companies to assure timely response.
  • Verifies Medical necessity for Medicare Patients using current online software.
  • Coordinates with other Barton departments to schedule patients for surgical, inpatient and hospital follow up appointments.
  • Coordinates multiple appointments in order to offer consecutively scheduled services.
  • Responds to the needs of the department by performing other duties, as necessary.
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