Schegistrar

Kootenai Health • Coeur d'Alene, ID

8d

About The Position

Responsible for timely scheduling, pre-authorization, pre-registration, registration, and point-of-service collections for scheduled appointments and procedures, as well as registration and point-of-service collections for non-scheduled patients receiving care at Kootenai Health locations. The role provides courteous and efficient service, accurate documentation, and timely communication with patients, medical staff, administrators, and other partners. It also supports denials reduction and helps patients understand insurance limitations, payment obligations, and available financial assistance.

Requirements

• High School Diploma or equivalent preferred.
• Bachelor’s degree in Business Management or a closely related field preferred.
• At least 6 months of prior customer service experience required.
• Two years of experience in a hospital, medical office, or health insurance setting, with familiarity with third-party government programs or commercial insurance—particularly registration and insurance verification—preferred.
• Strong customer service skills and a patient/customer-centered focus in a positive manner in all situations.
• Excellent telephone, written, interpersonal, and customer-relations communication skills.
• MOAB Certification during Kootenai Health Essentials required.

Nice To Haves

• Previous Epic or other hospital scheduling, registration, and clinical software experience.
• Knowledge of CPT, ICD-10, and HCPCS codes.
• Medical Terminology certificate.
• Experience with surgical, diagnostic, and/or office-visit scheduling, patient accounts, and/or practice assistant duties.
• Previous Epic software experience in Radiant, Cupid, Cadence, ADT, and/or other Epic modules.

Responsibilities

• Perform accurate insurance verification, pre-authorization, scheduling, and patient estimates before patient care.
• Provide scheduling and registration services for inpatient, outpatient, and Emergency Department patients.
• Schedule procedures and visits according to business-line and clinic-specific workflows and departmental patient-care and provider needs.
• Calculate patient financial responsibility and communicate estimates before service, including network benefits, out-of-pocket costs, and Good Faith Estimates for uninsured patients in compliance with the No Surprises Act.
• Obtain and validate required referral information, including physician orders, clinical records, demographic information, and benefit and eligibility information.
• Meet payer pre-authorization requirements to secure full insurance or government payer reimbursement.
• Document scheduling, financial clearance, registration, and patient estimate information in the appropriate Epic modules to maintain a complete and legal record.
• For uninsured patients, identify and verify active payer sources or refer patients to Financial Counseling for third-party linkage or financial assistance.
• Provide courteous and efficient service, accurately document and verify patient pre-registration information, and communicate professionally and promptly with medical staff and administrators.
• Assist with denials reduction by reviewing and researching registration, authorization, or medical-necessity claim denials as needed, and report findings to the department manager.
• Educate patients, as needed, about insurance policy limitations, self-pay obligations, payment plans, or financing options; refer uninsured patients to Financial Counseling for financial assistance or Medicaid linkage.
• Communicate with patients, physicians, payers, families, financial counselors, transitional care or transfer center staff, and other Kootenai Health partners.
• Perform other related duties as assigned.
• Maintain regular and predictable attendance and meet age-specific needs of the assigned unit.

Benefits

• Comprehensive medical coverage, including fully employer-paid options for eligible full-time employees and affordable plans for part-time staff.
• Dental, vision, life, and pet insurance.
• Telemedicine and wellbeing resources.
• Tuition assistance after 90 days.
• Retirement plans with pre-tax and Roth options and employer matching from 3%–6%.
• Competitive pay, plus night, weekend, and PRN shift differentials.
• Award-winning wellness program with coaching, financial wellness resources, and free or discounted access to fitness centers and premium wellbeing apps.
• PerkSpot discounts providing access to thousands of exclusive deals in over 25 categories.
• Employee referral bonus program.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED