CLERICAL

Phillips County Hospital•Phillipsburg, KS

19h

About The Position

This role involves preparing patient records for appointments, scheduling appointments with visiting specialists, securing prior authorization for patient insurance for these appointments and procedures, and maintaining positive relationships with visiting specialists and their staff. The position aims to maximize patient throughput and efficiency while creating a patient-centered experience, acting as a liaison between medical clinic patients and specialty clinic providers.

Requirements

Experience with insurance companies or claims a plus (Patient access, scheduling, billing, coding, insurance claims)
High computer skills and accuracy
Excellent customer service
High School Diploma or equivalent

Nice To Haves

Bachelor’s Degree preferred

Responsibilities

Responsible for timely communication with insurance companies, providers, outside facilities for referrals, and authorizations.
Timely answers and returns all phone calls, initiating and verifying insurance benefits and authorizations of appointments prior to services being rendered for outpatient services and pre-scheduled procedures.
Prepares patient records for appointments.
Obtains accurate forms and data.
Communicates with other departments and clinics regarding patients’ status.
Communicates and documents conversations prior to procedures of fees due and answers questions regarding fees/insurance coverage.
Documents patients’ deductibles, co-payments, and co-insurances that need to be collected prior to procedures.
Greets and directs patients.
Must work well under stress and tight deadlines.
Coordinates and works with specialty offices, insurance carriers, schedulers, and patient registration.
Inputs patient information into Electronic Medical Record (EMR).
Develop and monitor tracking system to support patient authorizations and timelines.
Maintain payer medical necessity requirements.
Liaison between office and clinics regarding denials and assist in appeal and resolution.
Able to strongly advocate for patients and work on appeals to obtain a resolution.
Collaborates with external sources to expedite authorization.
Ensures all referrals are coded appropriately.
Answer, triage, and route high call volume.
Interact with patients, physicians, and clinic staff in a timely and professional manner.
Maintain positive relationships with specialty providers and clinics.
Liaison with the VA for prior authorizations, referrals, and medical equipment.
Monitors outpatient emails and Relatient (automated notification system).
Maintains printer - problem solving, changing toner, replacing/ordering paper.
Orders office supplies.
Responsible for answering calls and scheduling treatment room and specialty clinic patients and creating pre-admit encounters for patients.
Any double booking needs to be approved by OPC Manager.