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- 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.
- Coordinates peer-to-peer reviews as needed between the physician and the insurance company.
- 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.
- 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.
- Makes outbound and receives inbound calls to schedule patients for imaging services at an HCA facility.
- Schedules and documents notes in hospital and Centauri's operating system
- Provide patient prep instructions for the services scheduled
- Works with hospital staff to ensure patients are scheduled timely, appropriately and receive the upmost customer service
- Monitors and manages the e-mail inbox or fax machine for assigned practices throughout the day.
- Works any requests e-mailed or faxes received
- Checks and responds to voicemails
- Creates, maintains and monitors log of patients and procedures scheduled for assigned physician practices.
- Monitors appropriate work lists to ensure timely insurance verification processing.
- Effectively communicates operational activities and issues with co-workers, 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.
- Identifies and recommends process improvements for the Schedule+ Program.
- Performs other duties as assigned by the Patient Access Management Team.
- Excellent customer service or client relations experience; office or hospital environment
- High volume call center experience preferred
- High school diploma or equivalent GED required
- Associates degree in a related field or a minimum of two years in patient scheduling, registration and/or healthcare billing
- Strong Literacy (grammar, spelling, math)
- Strong Microsoft Products, word, excel, outlook, windows
Radiology Scheduling Coordinator - Myrtle Beach, United States - Centauri Health Solutions, Inc
Description
Role Summary:
This position is responsible for accurately performing the Schedule+ functions for physicians and patients, including but not limited to insurance verification and pre-certification for all scheduled services at an HCA Facility. Makes and receives phone calls with intent of scheduling services at an HCA facility. This position must demonstrate a commitment of quality customer service to patients, physicians, co-workers and the general public.
Role Responsibilities:
Insurance Authorization/Verification
Scheduling
Clerical
Additional Responsibilities:
Role Requirements: