Description
Overview
Job Summary
This position is responsible for the daily scheduling of patients into the Surgery Center. As such, a clear level of verbal articulation is needed, and an understanding of CPT and ICD-10 codes is imperative. Schedules are typically maintained in software, although manual schedules are sometimes required.
Essential Functions
- Accepts calls for the scheduling of patients and accurately gathers the information required on patients. Secures proper patient identification and may gathering of various clinical documents such as history/physical, medical records, ancillary reports, etc.
- Accurately researches, obtains and verifies the most current insurance information on the patient, which may include gathering all applicable addresses for claim submission concurrently understanding various state/federal regulations as related to medical guidelines.
- Works closely with clinical staff to ensure the proper rooms, equipment and staff are available for the case in question.
- Works with the appropriate insurance carrier to properly determine the patients insurance benefits. This enables them to accurately anticipate the patients amount due for the selected procedure.
- Works with patients to explain payment policies and negotiates with the patient, or responsible party, a mutually acceptable resolution to the financial amounts owed.
- Regularly facilitates calls to physician providers to acquire the service authorization number.
- Understand commercial insurance payment methods and determine how implants are often reimbursed.
- May train as a backup or assistant biller as needed. May also train on insurance follow up and/or collections as requested.
The ability to lift, carry or push/pull up to 20 pounds and, occasionally, lift carry, push/pull over 20 pounds. Standing, walking 30% of the time, and sitting 70% of the time. Eye/hand coordination, finger dexterity, color perception, functional visual ability and depth perception, functional sound perception and discrimination, functional verbal speech ability. Occasional bending, kneeling, climbing, twisting, reach at/or above and below shoulder level. Routine balancing as it pertains to normal office environment duties.
Education, Experience and Certifications
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