Scheduling and Precertification Coordinator (Full Time)

North Country Healthcare•Lancaster, NH

5d•Onsite

About The Position

North Country Healthcare (NCH) is a non-profit affiliation of four medical facilities located in the White Mountains Region of New Hampshire. This comprehensive healthcare network delivers integrated patient care through community hospitals, specialty clinics, and home health and hospice services. NCH is committed to the health and well-being of the communities it serves. As a leader in a management position, this role emphasizes advancing High-Reliability Organization (HRO) principles, embedding a culture of safety, accountability, and consistent high performance.

Requirements

High school graduate with experience in customer service, computer entry, and multitasking clerical functions.
Keyboard skills and familiarity with computer applications to business setting are required.
Strong interpersonal, organizational and multitasking skills are required.
Congenial, pleasant, friendly, helpful disposition is required, as this position involves continuous contact with the public, providers, other Hospital staff and insurance companies.
Ability to interact with providers and other healthcare practitioners in a helpful, courteous manner is required.
Demonstrated ability to work in a team-oriented environment is required.
Must have technical aptitude and a willingness to learn software applications used at AVH.

Nice To Haves

Prior experience in medical facility, reception or billing/insurance is preferred.
Knowledge of medical terminology is preferable.
A bilingual background is an asset to the position.

Responsibilities

Assessing provider orders for completeness.
Scheduling patient services.
Verifying insurance coverage.
Obtaining pre-certification for services.
Pre-registration of patients.
Providing pertinent prep instructions to patients prior to scheduled services.
Utilizing and documenting in the Meditech electronic system throughout the process.
Analyzing incoming orders for completeness of demographic information, pertinent history, presence of diagnosis, and appropriate ordering provider, as well as prior authorization.
Entering correct wording when entering data into Meditech.
Scanning paper patient requisitions at time of scheduling.
Contacting the patient or patient representative in a timely manner to schedule patient services, ensuring efficient turnaround time.
Providing pre-appointment instructions to ensure patients are prepared for therapy.
Providing time estimates and brief overviews of what to expect during therapy evaluations and treatments.
Directing detailed questions to appropriate clinical staff.
Entering all required data into the appropriate Meditech modules, verifying demographic and insurance information, and revising it as necessary.
Tracking Medicare certifications, counting number of visits for all insurances including end dates, no-shows and cancellations.
Assisting with compilation of data and reports.
Performing monthly stats reconciliation.
Making appointment reminder calls to patients, and pre-registering patients by telephone when possible.
Registering and/or pre-registering patients.
Completing Medicare questionnaires and notifying Patient Financial Services of possible liabilities.
Contacting insurance companies to verify benefits and coverage levels, as appropriate.
Verifying if pre-certification is required and, if so, obtaining authorization and entering detailed information into Meditech ARM application.
Referring possible payment issues to the Customer Service Department.
Maintaining familiarity with all Meditech applications required to perform duties.
Making Senior Outreach Therapist aware of any patient backlogs or scheduling/resource issues.
Maintaining current knowledge of CPT and ICD-10 coding practices as needed to perform job functions.
Maintaining familiarity with insurance carrier pre-certification requirements through bulletins, updates, online tools, and other available resources.
Maintaining work area in a clean and orderly manner.
Picks up and delivers mail.
Collects and/or sends faxes.
Records and maintains staff meeting minutes.
Collects co-pays and appropriate payment at the time of service.
Files charts and paperwork.
Prepares tracking sheets for the next day.
Enters schedules into Meditech, including coverage/time-off.
Performs (or delegates) reminder phone calls.
Hands out objective measurement tools (ie., ODS and LEFS) to patients and prints them from the Repository.
Works as a cohesive member of the North Country Outreach Rehab Clinic Team, sharing the workload for scheduling, pre-registration, insurance verification, pre-certification, and other duties with her Point of Service back-up person.
Performs other tasks as assigned by Senior Outreach Therapist.
Proactively utilizes slow periods in a creative and business-minded manner, performing tasks such as organizing, sorting, reviewing own and/or therapists work for accuracy, offering assistance to a coworker, cross-training, etc.
Discharges therapy charts in a timely manner and scans all the information into the system.
Audits all therapists daily for correct charges and notes, and verifies synchronization with scheduling.
Performs routine typing and clerical functions.
Assists with general office and clinic housekeeping duties as needed.
Maintains familiarity with the operation of all business office equipment necessary to perform duties.
Orders supplies for the proper functioning of the North Country Outreach Rehab Clinic.