Authorization Scheduling Coordinator - Admitting , Roundhill NV

About the role

Analyzes patient's ability to pay through verification of insurance. Pre-authorizes procedures and surgeries for facility and physician. Updates patient registration and completes/updates forms as needed. Completes other scheduling functions as needed.

Responsibilities

• Provides consistently exceptional care at all times.
• Ability to prioritize, multi-task and handle emergent situations and critical deadlines.
• Answers phones, routes callers, takes messages, provides routine information to callers, and returns calls promptly.
• Exercises judgment as to the urgency and nature of calls and ensures that all messages are relayed to the appropriate staff promptly and communicates problems as they arise through proper channels.
• Interviews patient and/or guarantor to obtain complete and accurate demographic/financial information to determine patient's ability to pay for services.
• Screens Self-Pay and underinsured patients to determine their financial needs, referring patient to appropriate department for government assistance or Financial Assistance program.
• Run cost estimates for applicable services, effectively explain estimates and insurance benefits to patients and request prepayment for upcoming surgeries and/or procedures.
• Verifies medical necessity of Medicare patients using current online software.
• Contacts insurance company to obtain benefits, eligibility and any necessary authorizations.
• Works closely with providers in offices