Patient Scheduling Representative Flagstaff, AZ at Northern Arizona Healthcare

OverviewThe Patient Scheduling Representative is responsible for the verification and collection of patient demographic and insurance information by direct data entry to the electronic medical record during the scheduling/referrals. S/he conducts either face-to-face or inbound/outbound telephonic interviews with the patient or authorized representative to secure information specific to requested services; accurately documenting the discussion and other referral/scheduling activities in the encounter schedule book and patient chart.Demonstrates customer-centric focus in all interactions with internal and external customers as well as an understanding of and ability to achieve acceptable performance standards as defined by Integrated Patient Scheduling Management.ResponsibilitiesPatient Registration and SchedulingDemonstrates ability to navigate web-based products or system applications required for registration or scheduling.Accurate identification of patient for direct data entry of required clinical demographic and insurance information to the electronic medical record during registration or for appointment booking of assigned services.Provides general explanation of scheduled procedures and patient instructions that are necessary for conducting medical services.Ensures system documentation specific to the patient visit is entered and accurately reflects activities related to patient or provider contact order documentation insurance verification financial education and payment.Provides explanation of legal forms and secures signature of patient/authorized party as required for services.Demonstrates basic understanding of compliance standards required within a healthcare environment including EMTALA and HIPAA-Privacy Patient Confidentiality regulations.Eligibility/Authorization ManagementAccurate identification and selection of insurance carrier in the patient medical record for specified dates of medical services.Navigation of web-based products or system applications to initiate and document insurance eligibility benefit details and authorization requirements.Performs required notifications to ensure insurance authorization for identified medical services surgical procedures and inpatient/observation stays are secured and documented.Demonstrates basic knowledge of CPT ICD10 diagnosis coding documentation as required for medical services.Financial CounselingDemonstrates basic knowledge of regulatory or Third Party Payer insurance requirements including Medicare AHCCCS/Medicaid Workers Comp and other commercial payers.Educates the patient on insurance eligibility coverage and availability of medical financial assistance program(s).Collects identified patient financial liabilities; performs secured payment entry and deposit/cash reconciliation steps.Revenue Cycle SupportPerforms PBX Switchboard functions as required for answering and routing of internal/external calls; paging codes and fire alarms; handles department call volumes as assigned to appropriately respond to requests from patients providers or other hospital departments.Acts as a resource for clinical departments for registration/scheduled services related to data entry of patient account fields provider order requirements and questions regarding insurance coverage or financial assistance.Compliance/SafetyResponsible for reporting any safety related incident in a timely fashion through the Midas/RDE tool; attends all safety related training programs; performs work in a safe manner; monitors work environment for possible safety issues and ensures others are also performing work in a safe manner.Stays current and complies with state and federal regulations/statutes and company policies that impact the employees area of responsibility.If required for position ensures all certifications and/or licenses are up-to-date and valid prior to expiration dates.Completes all company mandatory modules and required job specific training in the specified time frame.QualificationsEducationHigh School Diploma or GED- RequiredMedical Terminology Coursework- PreferredCertification & LicensuresFingerprint clearance cards are needed for those who will work onsite within any NAHMG clinics. This is not required for remote employees.ExperienceBasic level of computer skills including keyboarding of 25 - 35 word per minute- Preferred1 year of call center or customer service experience or 1 year of experience in a medical facility- PreferredProficiency in Microsoft Applications (Excel Word PowerPoint)- PreferredHealthcare is a rapidly changing environment and technology is integrated into almost all aspects of patient care. Computers and other electronic devices are utilized across the organization and throughout each department. Colleagues must have an understanding of computers and competence in using computers and basic software programs.Required Experience:Unclear Seniority Key Skills Data Entry,Deputy,Drafting,Hibernate,Administration Support,Activex Employment Type : Unclear Experience: years Vacancy: 1