Scheduling & Registration Coordinator, Grand Valley Oncology, Full-Time

Community Hospital•Grand Junction, CO

1d•$19 - $22•Onsite

About The Position

This full-time position as a Scheduling and Registration Coordinator at Grand Valley Oncology involves a wide range of administrative and patient-facing responsibilities. Key duties include preparing the pre-registration work area, managing daily schedules, and verifying add-on appointments. The coordinator is responsible for contacting insurance companies to verify benefits, pre-certify procedures, surgeries, and inpatient stays, and documenting financial data in the Meditech system. They also calculate estimated patient charges based on insurance details and attempt to collect payments prior to visits, referring patients to financial counselors if necessary. The role requires preparing for patient admissions, contacting relevant parties if pre-authorization is denied, and maintaining a high efficiency rate in admitting patients while accurately obtaining demographic and financial data. A significant part of the role involves interpreting medical records to obtain prior authorizations for various tests and treatments, communicating with providers and staff for correct authorization data, and documenting authorization numbers in Mosaiq and Meditech. The coordinator will also educate patients on their insurance coverage and benefits, obtain necessary signatures, and provide feedback to oncology teams regarding denials and service barriers. Additionally, the position includes scanning signed commercial waivers and ABN forms into patient charts and databases, and interacting with multiple teams such as oncology, radiology, billing, and scheduling.

Requirements

High school diploma or equivalent.
Demonstrated understanding of medical terminology and anatomy is required.

Nice To Haves

Prior authorization experience and familiarity with CPT codes and ICD-10 codes is preferred.

Responsibilities

Prepare the pre-registration work area daily.
Print daily schedules.
Verify add on appointments.
Contact insurance companies to verify insurance benefits, pre-certify procedures, surgeries and inpatient stays per insurance guidelines/requirements.
Document financial data in Meditech system.
Notify scheduling department if patient cancels appointment.
Prepare for the admission of patients.
Contact the patient, as well as referring physician’s office, scheduling, diagnostic department (radiology, procedure center), and check in department if pre-authorization is denied.
Calculate the patient’s estimated charges according to insurance deductible, copay, and/or out of pocket benefits.
Attempt to collect patient payments prior to visit.
If patient unable to pay, refer the patient to a Financial Counselor or self-pay biller to set up payment arrangements or apply for financial assistance.
Review chargemaster copies on a quarterly basis to keep estimated charges up-to-date.
File daily schedules and face sheets in appropriate areas.
Admit patients maintaining a 95% efficiency rate.
Accurately obtain specific demographic and financial data.
Creates, maintains and distributes required documents and reports related to patient information.
Monitoring QCLs frequently to ensure prompt attention to patient needs.
Interpreting medical records for accurate diagnosis and procedure codes for ordered tests and procedures in order to obtain prior authorizations to include: all genetic testing, laboratory tests, pathology tests, clinical trials, and radiation oncology treatments.
Communicating with providers and staff to obtain correct prior authorization data including forms that must be sent to the insurance prior authorization case reviewer.
Documenting authorization numbers in Mosaiq and Meditech for other team members to be able to access.
Meeting with patients prior to appointments to educate them on insurance coverage and benefits and have them sign appropriate forms.
Provide feedback to oncology providers and teams on a regular and ongoing basis regarding denials, barriers to service and opportunities for improving patient care.
Responsible for scanning all signed commercial waivers and ABN forms into patient charts and scanning all signed ABN’s into GVO database.
This position is responsible for interacting with multiple teams where various stakeholders are involved including oncology, radiology, billing, and scheduling.
Other duties as assigned