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Form of workCURRENT HOLLAND HOSPITAL EMPLOYEES- Please apply through Find Jobs from your Workday employee account.
Under minimal supervision and with accuracy, performs duties to support department services. Performs insurance verification, registration and scheduling for a series of patients for numerous providers. Supports the department(s) clinical staff members, maintains medical record files, and performs charge/billing duties. Answers phones and directs callers to the appropriate person/department. Greets clients, and sorts and sends mail.
Employment Type: Full Time
Shift: Varied
Weekly Scheduled Hours: 40
Weekend Frequency: No weekends or holidays
Education Requirements:
- High school diploma or GED equivalent required
- General working knowledge of and ability to use office machines (including computer, fax, copy machine, and printer)
- Excellent communication and interpersonal skills.
- Ability to work independently as well as part of a team.
- Microsoft Office skills.
- Knowledge of medical terminology.
- Ability to multitask.
Referral Management
- Receives referrals from various referring physicians' offices.
- Manages referrals originating through various IT systems.
- Verifies all information needed and enters referrals into appropriate systems
- Based on referral information and physician order, determines if the services require prior authorization.
- Tracks and records all referrals for management use in quality data to support accreditation requirements.
- Sends referrals back to referring offices once services are complete.
Insurance Verification
- Based on referral information, determines if the services require prior authorization.
- Collects additional information needed for pre-authorization via patients medical records and previous office visits.
- Contacts the insurance carriers to request authorization prior to services being rendered.
- Manages denials and appeals for all services and enters the appropriate authorization information into patient medical record / encounter.
- Works with Patient Financial Services to ensure completion of all prior-authorizations done for the department.
Scheduling and Registration
- Performs scheduling of patient appointments in all service scheduling apps.
- Manages schedules that are responsive to patient convenience while also optimizing efficiency in line with department goals.
- Verifies and updates all required patient demographic information.
- Pre-registers appropriate patients before arrival for their scheduled service.
- Continuously updates department tracking spreadsheets
- Sends weekly team e-mails updating referring offices on scheduling dates for their patients.
Office Operational Support
- Anticipates and provides support to all clinical staff.
- Assures that messages and mail are distributed in a timely and accurate manner.
- Provides clerical support to department leadership creating documents such as spreadsheets and forms.
- Takes minutes at meetings when asked.
- Completes projects as assigned by leadership.
- Multi-tasks between scheduling, registration, reception and other office duties.
- Identifies and maintains office/medical supplies and forms that need to be ordered.
- Greets clients in a professional manner and advises the appropriate staff member that the patient is waiting.
- Answers the phone promptly and courteously.
- Accurately takes and routes messages; assists callers to obtain satisfactory responses to their requests.
- Notifies staff of cancellations and filling open time slots.
- Makes reminder phone calls to the next days scheduled patients and provides appropriate pre-test instructions.
- Screens calls as appropriate and communicates with patients and provider offices in a professional manner.
- Coordinates with various medical groups to provide coverage for tests that require provider supervision.
- Maintains patient rights, confidentiality and ethical billing practices.
Holland Hospital is an Equal Opportunity Employer, please see our EEO policy
