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

Community Hospital•Grand Junction, CO

9h•Onsite

About The Position

The Scheduling and Registration Coordinator is a full-time position at Grand Valley Oncology. This role is responsible for preparing the pre-registration work area daily, which includes printing schedules, verifying appointments, contacting insurance companies for benefit verification and pre-certification, and documenting financial data. The coordinator also prepares for patient admissions by contacting relevant parties if pre-authorization is denied, calculating estimated patient charges, attempting to collect payments, and referring patients to financial counselors when necessary. Key duties involve admitting patients efficiently, monitoring patient needs via QCLs, interpreting medical records for accurate coding to obtain prior authorizations for various tests and treatments (including genetic testing, lab tests, pathology, clinical trials, and radiation oncology), and communicating with providers and staff to secure authorization data. The role also entails documenting authorization numbers in Mosaiq and Meditech, educating patients on insurance coverage, providing feedback to oncology teams regarding denials and service barriers, and scanning signed forms into patient charts and databases. This position requires interaction with multiple teams, including 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