![Wayne HealthCare](https://assets.careerarc.com/companies/3654/logos/primary_4889_thumb_med.png?1612147789)
Description
This full time position will be for day shift working in Central Scheduling, weekend and holiday rotation required. This position is responsible for schedule of all inpatient and outpatient-scheduled assigned appointments. The individual will be cross trained to multiple areas within the Central Scheduling Department. This position reports to the Director of Central Scheduling.
Qualifications:
- Prior experience with Medicare, Medicaid, and other insurance plans related to medical coverage offered by these plans and understanding of pre-certification, pre-determination, and medical necessity of these plans preferred.
- Knowledge of medical terminology required
- Minimum of three years experience in health care field preferred
- Associates degree in Medical Office Administration or related field preferred
Responsibilities/Skills:
- Responsible for scheduling of all inpatient and outpatient-scheduled assigned appointments for laboratory, cardiopulmonary and radiology departments from physicians, physician offices, patients and hospital staff
- Responsible for contacting insurance companies for verification of benefits, pre-authorization, and follow up on pre-certification.
- CPT coding and patient needs related to their diagnosis for appropriate scheduling and insurance reimbursement
- Analyzes patient's financial responsibilities and attempts to collect payment at time of scheduling/precertification.
- Offers financial counseling to patient if deems necessary.
- Provides special instructions for procedures and directions to facilities and departments. Performs report reconciliation and charge verification card in pulmonary and radiology departments from physicians, physician offices, patients and hospital
- Contacts physician offices for patient information, op orders, medical necessity and prior-authorization requirements when needed.
- Coordinates information with Case Management regarding pre-certification requirements (for inpatient and outpatient surgeries)
Full time first shift position - 8 hours daily
40 hours weekly
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