This job was posted by https://www.azjobconnection.gov : For more information, please see: https://www.azjobconnection.gov/jobs/6923837

The 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.

\ The primary location of this position is hybrid (remote and on site as needed).

Responsibilities

Patient Registration and Scheduling\ * Demonstrates 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 Management\ * Accurate 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 Counseling\ * Demonstrates 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.