Scheduling and Authorization Coordinator

Skill Requirements

• High school diploma or GED
• Associate degree or 2+ years in patient scheduling, registration, or healthcare billing
• One (1) year working in a customer service or client relations type role
• Office or hospital environment experience
• High volume call center experience
• Strong Literacy (grammar, spelling, math)
• Strong Microsoft Products experience, including word, excel, outlook, windows
• Familiarity with HCA/Parallon IT systems
• Strong sales and customer service skills
• Excellent interviewing and telephone communication skills
• Outstanding interpersonal and people-oriented skills
• Excellent written and verbal communication abilities
• Ability to communicate assertively and professionally while maintaining confidence and credibility
• Strong analytical, problem-solving, and decision-making skills
• High level of organization, attention to detail, and time management
• Ability to multitask and prioritize effectively in a fast-paced environment
• Proven ability to work independently with minimal supervision
• Strong stress management and adaptability skills
• Goal-driven with a strong action and results orientation
• Demonstrates initiative, persistence, and a strong work ethic
• Team-oriented with the ability to collaborate effectively
• Flexible and adaptable to changing priorities

Qualifications

• High school diploma or GED
• Associate degree or 2+ years in patient scheduling, registration, or healthcare billing
• One (1) year working in a customer service or client relations type role
• Office or hospital environment experience
• High volume call center experience
• Strong Literacy (grammar, spelling, math)
• Strong Microsoft Products experience, including word, excel, outlook, windows
• Familiarity with HCA/Parallon IT systems
• Strong sales and customer service skills
• Excellent interviewing and telephone communication skills
• Outstanding interpersonal and people-oriented skills
• Excellent written and verbal communication abilities
• Ability to communicate assertively and professionally while maintaining confidence and credibility
• Strong analytical, problem-solving, and decision-making skills
• High level of organization, attention to detail, and time management
• Ability to multitask and prioritize effectively in a fast-paced environment
• Proven ability to work independently with minimal supervision
• Strong stress management and adaptability skills
• Goal-driven with a strong action and results orientation
• Demonstrates initiative, persistence, and a strong work ethic
• Team-oriented with the ability to collaborate effectively
• Flexible and adaptable to changing priorities

Essential Duties And Responsibilities

• Insurance Authorization/Verification
• Thoroughly completes the insurance verification process to ensure the accuracy of insurance information.
• Obtains insurance authorizations, referral, and treatment consults as needed for all scheduled patients prior to receiving services.
• Obtains benefit coverage from insurance companies and accurately enters information into the appropriate computer system.
• Obtains diagnosis information and/or CPT code from the physician/office or the outpatient department, as necessary for completing the insurance authorization process.
• Maintains proficiency in the various systems utilized during insurance verification and authorization process including various on-line payor eligibility programs.
• Maintains proficiency in the various systems utilized during insurance verification and authorization process including various on-line payor eligibility programs.
• Maintains documentation necessary for compliance with state, federal, and other regulatory agency requirements.
• Maintains proficiency in the various systems utilized during insurance verification and authorization process including various on-line payor eligibility programs.
• Monitors appropriate work lists to ensure timely insurance verification processing.
• Maintains documentation necessary for compliance with state, federal, and other regulatory agency requirements.
• Maintains proficiency in the various systems utilized during insurance verification and authorization process including various on-line payor eligibility programs.

Scheduling

• Schedules all types of complex exams with attention to detail.
• Ability to manage high outbound and inbound calls to schedule patients for imaging services to ensure the best possible customer service by properly educating the patient on exam preparation and answering questions.
• Screens and verifies all HIPPA information to ensure accuracy with scheduling and speaking with patients, patients approved representatives and or physicians.
• Schedules and documents notes in hospital and ElevatePFS® operating systems.
• Monitors appropriate work lists to ensure timely insurance verification processing.
• Utilizes multiple commuter application, scheduling software, network, drives to schedule multiple exams within multiple modalities and entities across the hospitals system.

Additional Responsibilities

• Effectively communicates operational activities and issues with Supervisor and Manager.
• Interfaces courteously and effectively with internal and external customers.
• Must consistently present a positive departmental and organizational image, as well as commitment to departmental goals, objectives, standards, policies and procedures.
• Demonstrates proficiency within assigned area of responsibility and a general understanding of the entire Patient Access process.
• Adheres to the hospitals and until level policies and procedures and safeguards set forth by each facility.
• Identifies and recommends process improvements for RMA services.
• Other duties as assigned.