Patient Scheduling & Insurance Verification Specialist ** 100% Remote for MI residents **
Patient Scheduling & Insurance Verification Specialist ** 100% Remote for MI residents **
Posted yesterday
SENIORITY
Senior
About the role
- 100% remote role for MI residents.
- Work Hours: Mon - Fri; 8:30am - 5:00pm ET.
- This job description is intended to cover the minimum essential duties assigned on a regular basis. Associates may be asked to perform additional duties as assigned by their leader. Leadership has the right to alter or modify the duties of the position.
- The Pre-Service Scheduling Specialist's main objective is to accurately schedule and pre-register patients and verify insurance authorization requirements are met.
- Responsibilities include scheduling patient appointments, providing pre-registration, verification of insurance, obtaining insurance authorizations, collecting patient payments, providing estimates, entering ICD-10 codes, and completing appropriate medical necessity checking.
- Understand modality specific protocols to safely schedule patients.
- Interview patients and/or physician offices for the purpose of scheduling and pre-registration.
- Collect accurate demographic and financial information to assist with billing requirements.
- Enter appropriate ICD-10 codes for registration and billing purposes at the point of scheduling and registration.
- Transcribe verbal orders from physician (offices) with accurate medical information to schedule appropriate exams.
- Provide patients with test prep instructions.
- Verify orders are accurate and verify order meets payer and compliance requirements.
- Verify medical necessity checks upon scheduling a patient.
- Verify insurance eligibility and covered benefits.
- Collect and verify necessary insurance authorizations.
- Utilize appropriate resources to assist when scheduling stat, add-on, or unfamiliar procedure.
- Timely responding to provider and patient requests for scheduling procedure.
- Educate the patient as to their financial responsibility prior to the point of service.
- Provide estimates for services as requested by the patient.
- Collect pre-payment for hospital services that are not covered by the patient's insurance, including co-pays, deductibles, or prior patient balances.
- Process accounts held internally or rejected by payers for errors related to registration, authorization, and financial clearance activities.
- Associate degree in health care billing, accounting or business and a minimum of 1 year of healthcare scheduling and patient registration experience; OR High School Diploma/GED and a minimum of 3 years of health-related experience in healthcare scheduling, billing, and registration.
- Experience must be in one of the following areas: health care scheduling billing, health insurance verification, ICD-10 coding, medical necessity checking, authorizations and copay collections.
- Excellent word processing and computer typing skills.
- Demonstrated interpersonal and communication skills.
- Must pass a medical terminology assessment test with 80% or greater.
- Must successfully complete analytical skills assessment test with 65% or greater.
- Demonstrates knowledge and maintains and respects patient right to privacy by following the HIPAA Privacy and Security policies and procedures.
- Adheres to ICARE values and standards of behavior (Innovation, Compassion, Accountability, Respect, Excellence).
- Role model behaviors that value the diversity of our associates, patients, customers, and support creating an environment that is inclusive, welcoming, and respectful.
- Communicates with patients, families and customers using AIDET (Acknowledge, Introduce, Duration, Explanation, Thank).
- Works in a safe manner and promptly reports any hazards identified in the work environment or related to assigned responsibilities.***************************************************************I'd love to talk to you if you think this position is right up your alley, and assure a prompt communication, whichever direction. If you're looking for rewarding employment and a company that puts its employees first, we'd like to work with you. Satwinder "Sat" Singh
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