Scheduling Concierge-Full Time-Days/Evenings
About The Position
The Scheduling Concierge performs scheduling and related financial-clearance functions, including posting surgical cases, patient pre-registration, insurance verification, and pre-certification. The role schedules assigned procedures according to department specifications and physician orders, gathers required case information, identifies special equipment and instrumentation, and coordinates pre-admission testing and services with other departments. The position obtains information needed for financial clearance, processes insurance verifications and authorizations, provides price quotes and estimates, and communicates patient financial responsibility and coverage status. It maintains the clinical and administrative documentation needed for authorization and regulatory compliance, coordinates with patients, physician practices, insurers, internal Associates, and departments, and escalates scheduling concerns to appropriate leadership. The schedule is Monday through Friday, 8:30 a.m. to 5:00 p.m., with two days per week ending at 3:00 p.m. The stated compensation range is $20.91–$29.28.
Requirements
- High school diploma or equivalent GED.
- At least two years of experience in patient scheduling, registration, or healthcare billing, or completion of the MWHC Intern Program.
- Proficiency with electronic medical record software applications, computers, telephones, fax machines, and various software applications.
- Strong verbal communication, including telephone etiquette, and written communication skills.
- Ability to prioritize and perform work in an organized, efficient, and effective manner without on-site supervision and direction.
- Critical thinking and analytical skills.
- Ability to multitask, communicate effectively, and collaborate with a multidisciplinary team.
Nice To Haves
- Experience in data entry, customer service, collections, and medical terminology.
- Familiarity with Mary Washington Healthcare IT systems.
- Bilingual Spanish skills.
Responsibilities
- Accurately and promptly schedule assigned procedures according to applicable department specifications and physician orders.
- Schedule surgical cases, gather required data, and identify special equipment, instrumentation, and preferences.
- Schedule or pre-register appropriate pre-admission testing services and expedite services from other departments.
- Obtain information needed for financial clearance and secure accounts in a timely manner using online resources, websites, and telephone.
- Provide price quotes and estimates.
- Interview patients and follow up with patients who cancel procedures or do not attend appointments.
- Collect diagnosis information and CPT/HCPCS codes from physician offices at scheduling to support insurance verification and pre-authorization or certification.
- Refer scheduling concerns and problems to the Specialty Coordinator, Resource Team, and, as needed, the Administrative Manager or Supervisor.
- Assist physician practices with schedule changes as directed and notify appropriate parties.
- Coordinate peer-to-peer reviews between physicians and insurance companies as needed.
- Provide and maintain clinical documentation needed to obtain insurance authorization.
- Monitor reports and process insurance verifications through applicable systems and websites promptly and effectively.
- Perform insurance verification for Medicare, Medicaid, and commercial payers to support compliance and appropriate coordination of benefits.
- Obtain insurance authorizations and verify that they are unexpired, complete, accurate, and consistent with the scheduled procedure, date of service, and facility.
- Collaborate with internal Associates and departments to financially secure encounters.
- Prepare and communicate patient waivers and Advanced Beneficiary Notifications for encounters that are not financially secured.
- Communicate patient or guarantor financial responsibility, including co-payments, deductibles, and self-pay deposits.
- Communicate referral status, pre-authorization status, network and out-of-network benefits, and patient waivers.
- Communicate operational activities, issues, and audit findings to appropriate leadership in a timely manner.
- Identify and recommend process improvements for the surgical practice.
- Maintain documentation required for compliance with state, federal, and other regulatory agency requirements.
- Perform other duties as assigned.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
