Job Information
Arizona Employer Coordinator Authorization & Verification - Cancer Center in Show Low, Arizona
This job was posted by https://www.azjobconnection.gov : For more information, please see: https://www.azjobconnection.gov/jobs/6733679
Responsible for verifying and updating patient demographics information, verifying eligibility for medical procedures with patients insurance company and using Summit Healthcares insurance verification tool for insurance authorization and verification. Serves as a valuable resource to patients by providing excellent customer service, pertinent information regarding their coverage, and explaining coverage amounts. Refers patients to Financial Counselor to arrange payment for services that are not covered by insurance.
Essential Functions / Major Responsibilities:
Level 1
Provides the highest level of customer service standards.
Registers/pre-registers patients, gathers detailed information from the patients chart for coordination of care.
Verifies insurance benefits and eligibility.
Obtains pre-certifications and referrals to other providers and for procedures, services, or equipment.
Verifies/Notifies payors for procedures
Refers accounts to financial counselor.
Collects patient portions of fees when applicable.
Works Task List in Allscripts for all outpatients
Monitor stat orders and time sensitive accounts
Displays proper etiquette and mannerisms that reflect the SHINE Behavior Guidelines.
Promotes the Patient Safety Standards as a core value of the organization
Level 2
In addition to Level 1 essential functions:
Works reports on a daily basis: CRC, One Content, Pre-Registration with balances, accounts not discharged, denials
Assists Senior Coordinator with assigned tasks
Provides direction guidance and training to level 1 staff
Attends Denials Management Committee meetings.
Assist with Change Health Relay Issue
Participates in departmental and hospitalwide informational meetings and inservices, including staff meetings, hospitalwide forums, and seminars.
Reviews department and hospitalwide policies and procedures annually.
Cross trains in two or more Patient Registration areas: Outpatient, prior authorizations, ER, centralized scheduling and/or Surgery.
Runs and works Relay reports
Works Task List in Allscripts for all outpatients
Monitor stat orders and time sensitive accounts
Additional / Seasonal Responsibilities:
None.
Job Scope:
This job involves:
Routine work situations.
A mid-level of complexity.
Typical operation from specific and definite directions and instructions.
Performance under supervision.
Supervisory Responsibility:
None.
Interpersonal Contacts:
Are normally made with others both inside and outside the hospital.
Are made with own department as well as other departments or locations.
Frequently contain confidential/sensitive information necessitating discretion at all times.
Are made via telephone, e-mail, and face-to-face interaction.
Are usually with patients and staff with some physician contact.
Specific Job Skills & Mental Activities:
This position requires operational knowledge of all equipment in the Admitting areas, including: fax, printer, copy machine, phone systems, scanners, and all computer programs required to retrieve and input information. This employee must be service oriented and have excellent customer service skills, computer skills, organizational skills, multitasking skills, professional interpersonal skills, time management skills, the ability to prioritize work, and telephone etiquette. This employee must be familiar with and abide by all HIPAA rules and regulations. This employee must be able to function in a high stress area with multiple priorities and multiple sources of request, with a fast pace in decision making. This employee must also maintain a professional demeanor in traumatic situations. Must be able to read, write, speak, and understand Englis .
This position requires extensive amounts of time on the phone with insurance companies and ability to work within time sensitive guidelines.
Competencies:
90 days
Uses A.I.D.E.T. (Acknowledge, Introduce, Duration, Explanation, Thank you) in every patient transaction.
Greets patients with a smile even on the phone
o States, Welcome to Summit
o Makes eye contact with every patient
o Uses the patient name in every conversation with the patient. (A)
o Answers phones in a pleasant, helpful manner
o Thanks patients. (T)
Pre-registration/Registration of patient into Electronic H
