Registration & Scheduling Lead - Hospital Admitting

Foundation Health•Fairbanks, AK

About The Position

The Registration & Scheduling Lead provides subject matter expertise and advanced support to diagnostic scheduling and registration teams, including incomplete-registration teams. The role conducts patient registration and obtains financial clearance for people accessing services at medical facilities. It reviews account information to support collection efforts, accurate system records, reimbursement, and compliance; resolves issues to support point-of-service decisions; and refers patients to the Business Office for financial counseling when appropriate. The lead explains hospital legal forms and obtains required signatures. The position supports the supervisor with staff training, development, and retention; serves as a resource for internal customers and complex or sensitive cases; oversees patient flow during the shift; and provides backup to the supervisor when needed. It also performs scheduling and registration work, verifies insurance, coordinates procedure and treatment times, maintains scheduling blocks, answers scheduling calls, and supports patient financial and service needs. Foundation Health Partners operates Tanana Valley Clinic, Fairbanks Memorial Hospital, and Denali Center. It describes itself as community-owned and operated and dedicated to providing compassionate health care.

Requirements

High school diploma, GED, or equivalent working knowledge.
Advanced skills normally acquired through three or more years of relevant work experience.
Ability to function independently within two or more areas of the department.
Demonstrated knowledge of medical terminology and broad understanding of common insurance and payor types and authorization requirements.
One year of prior experience in FMH hospital registration, prior authorization, and/or scheduling.
Ability to manage multiple tasks simultaneously with minimal supervision and work independently.
Strong interpersonal, oral, and written communication skills to interact effectively with a wide range of audiences.
Proficiency with commonly used office software and computers, including the ability to use computerized scheduling systems.
Ability to maintain accurate statistical records, gather data, and produce reports.

Nice To Haves

Work experience with Foundation Health Partners' systems and processes.
Additional related education and/or experience.

Responsibilities

Assist the supervisor with training, development, and retention of registration/scheduling representatives and diagnostic schedulers.
Foster a culture reflecting department and Foundation Health Partners core values and policies.
Act as a knowledge resource for internal customers and a primary resource for complex or sensitive cases.
Oversee patient flow during the shift and maintain it at an optimal level.
Resolve employee and patient issues arising during the shift and communicate employee issues to the supervisor for follow-up.
Provide backup to the supervisor in their absence.
Perform scheduling and registration processes and verify insurance coverage.
Accurately and completely document information in the patient record system to support maximum reimbursement.
Review scheduled appointments before service to ensure locations and encounters are attached to each appointment.
Receive physician orders and seek clarification when necessary.
Coordinate case times for treatments and diagnostic procedures.
Verify physician privilege status before scheduling.
Schedule and maintain physician or diagnostic block time and manage block-time releases.
Answer scheduling telephone inquiries and back up the Transcribing team when necessary.
Explain Foundation Health Partners financial policies and provide information about resources and alternative payment arrangements.
Provide financial assistance paperwork to patients and families when appropriate and provide Good Faith estimates when requested.
Liaise among patients, the PFS department, and payors to improve accounts-receivable performance, resolve outstanding issues or patient concerns, and support service excellence.
Meet or exceed productivity standards, complete daily assignments, and maintain accurate Activity Trackers.
Audit demographic and financial files created during the shift for payor compliance and completeness.
Identify opportunities to improve work processes and support positive work-group dynamics.
Monitor calls in queue to support patient experience, maximize answered calls, and minimize abandoned calls.
Perform all functions according to established policies, procedures, regulatory and accreditation requirements, and applicable professional standards.
Provide customers with an excellent service experience by consistently demonstrating Foundation Health Partners' core and leader behaviors.