JOB SUMMARY
RESPONSIBILITIES :
Responsible for scheduling patients for one (1) type of outpatient scheduling, i.e. primary care, specialty care or hospital outpatient departments (HOD).
Performs authorization, pre-registration, and insurance verification functions, as assigned.
- Provides general and specific information to hospital users, patients, families and physician offices.
- Ensures that patients meet financial requirements.
- Fosters positive relationships with patients to provide quality service in a pleasant, professional, and timely manner, while being sensitive to guest services.
- Communicates effectively to service delivery areas to maximize patient flow and customer service.
II. TYPICAL PHYSICAL DEMANDS :
- Essential : standing, sitting, walking, stooping / bending, walking on uneven ground, squatting, twisting body, finger dexterity, seeing, hearing, speaking, lifting and carrying up to 20 lbs, pushing / pulling usual weight of 15 to 20 pounds, reaching at and below shoulder level, repetitive arm / hand motions and gripping of an object.
- Occasional : kneeling, crawling, climbing stairs, reaching above shoulder level.
- Operates various office equipment such as computers, copiers, facsimiles, telephone, typewriter, pneumatic tube system, credit card swipe.
III. TYPICAL WORKING CONDITIONS :
- Not substantially subjected to adverse environmental conditions.
- Work pace varies and is frequently stressful.
IV. MINIMUM QUALIFICATIONS :
A. EDUCATION / CERTIFICATION AND LICENSURE :
High school diploma or equivalent.
B. EXPERIENCE :
- One (1) year patient access experience in a hospital or physician office setting.
- Prior experience in insurance verification and registration.
- Knowledge and understanding of different payor types (i.e. Medicare, Medicaid, Commercial, HMO, Workers’ Compensation, Capitation, TPL, etc.).
- Knowledge of medical terminology.
- Strong time management, organizational, and interpersonal skills.
- Ability to communicate effectively in English, both orally and in writing.
- Proficiency with automated systems and computer applications.
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