About this role
Shifts as needed
- Responsible for performing scheduling, pre-certification, benefit verification and pre-certification, Requires fast response to customer needs, independent judgement, ingenuity and initiative in utilization of computers and other equipment.
- Works with staff and understand appropriate scheduling processes and how processes affect ancillary departments.
- Conducts patient and guarantor interviews for inpatient, outpatient and emergency care registration, Explains hospital policies and financial responsibilities and obtains all required signatures.
- Ensures that all demographic and financial data is obtained and entered in the EPIC system in an accurate and timely manner.
- Ensures that pre-certification and/or authorization is obtained to comply with insurance company policies.
- Determines estimated patient financial responsibility through verified insurance benefits, co-pays and deductibles and calculates estimated self-pay portions to be collected at time of registration.
- Controls the main line of communication with physicians, nursing, clinical staff, non-clinical staff and Patient Access Department to ensure appropriate patient scheduling for proper entry into and through the health care system.
- Performs all other duties as assigned by the management team.
Special Qualifications
High School Diploma or equivalent
- General knowledge and experience in the healthcare industry is preferred
- Strong Customer service experience
- Ability to communicate effectively both orally and in writing
- Working knowledge of medical terminology ICD-10 and CPT Coding
- Ability to build productive internal and external working relationships
- Basic analytical skills
- Strong organizational skills and attention to detail
- Ability to handle challenging customers in a professional manner