Job Summary :
Facilitates patient medical and financial clearance using medical and healthcare knowledge, clinical judgment, and communication skills to assist in resolving difficulties surrounding patient access, authorization of services and coordination of scheduled programs.
Applies substantial knowledge of the job and experience to complete a wide range of activities with varying difficulty. Regularly works with sensitive and confidential information, often involving the interpretation of policies and procedures to guide use.
Job Requirements :
Education and Work Experience :
- High School Education / GED or equivalent : Preferred
- Associate’s / Technical Degree or equivalent combination of education / related experience : Preferred
- Two years' healthcare experience : Preferred
Essential Functions :
- Coordinates and schedules patient care for all wellness programs. Facilitates communication between patient scheduling staff and all user departments, physicians, physician office staff, patient clients.
- Answers telephone inquiries regarding physician referrals and covers front desk duties when needed. Maintains patient scheduling data base.
- Collaborates with patient financial services (PFS) to ensure appropriate authorizations are obtained in accordance with PFS policy and procedure.
Submits documentation for retro-authorization as appropriate, files and appeal for denial of services.
Develops monthly Wellness newsletter, updating website and developing promotional flyers. Actively participates in training.
Performs other duties as assigned by department leadership.
Performs other job-related duties as assigned.
Organizational Requirements :
Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations, including, but not limited to, measles, mumps, flu (based on the seasonal availability of the flu vaccine typically during October-March each year), COVID-19 vaccine (required in CA, HI and OR) etc.
as a condition of employment, and annually thereafter. Medical and religious exemptions may apply.
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