Job Summary Transcribes all incoming physician orders for outpatient hospital ancillary appointments, including but not limited to diagnostic imaging procedures, transfusions, infusions, non-invasive cardiology procedures, and PFT pulmonary orders received from referring community physician offices. Schedules appointment for all physician faxed or e-orders for procedures listed above. Creates hospital account, determines correct insurance plan coverage and encodes on patient's account. Determines payer medical necessity and estimated patient responsibility. Pre-registers the account by phone with patient prior to date of service. Answers incoming ancillary phone queue line and handles all calls appropriately. Monitors call center metrics and provides exceptional customer service at all times.
Performs a variety of scheduling tasks needed to schedule outpatient ancillary appointments. As appropriate, accurately select the correct medical record number or create a new one prior to scheduling. . Answers incoming calls from scheduling call center queue line promptly and within the standard limit set by department. Transcribes all incoming faxed orders. Follows scheduling procedure guidelines including completing procedure questionnaire with patient appropriately and providing accurate procedure prep instructions to patient as provided in the EMR/EPIC scheduling module. Communicates with referring physician offices to obtain corrected valid orders or obtain missing information or to inform them of inability to schedule the order due to inability to make patient contact. Documents EMR/EPIC thoroughly and accurately following department guidelines and standards.
Performs a variety of pre-registration functions. Adheres to all third party payer requirements for both government and commercial payers. Creates hospital account, and accurately encodes insurance coverage on account, determines/verifies insurance eligibility, verifies patients' insurance benefits, determines payer medical necessity requirements, and determine patient financial responsibility and collects deposit from patient. Follows department WQ fundamentals and department standards. Updates account information as needed, and documents accounts appropriately and thoroughly following department guidelines and standards.
Obtains procedure prior authorization from referring physician or insurance, as needed. Collects patient estimated financial responsibility and generates patient payment receipt and documents the system appropriately and thoroughly as per department standards. Follows collection procedures and ensures the security of all patient credit card information at all times.
Follows department and network policies concerning discounts, package rates, payment plans, and financial assistance options. Provides feedback to department leadership on changes/updates implemented by insurance. Follows HIPAA policies at all times. Follows hospital care standards and provides exceptional customer service at all times. Performs other duties as assigned.
Performs other duties as assigned.
Internal Number: 2019-16365
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Welcome to HonorHealth.
We are a non-profit, local healthcare organization known for community service and outstanding medical quality. Our organization encompasses five acute care hospitals with approximately 10,500 employees and 3,100 volunteers, urgent care centers, clinical research, medical education, an inpatient rehabilitation hospital, an Accountable Care Organization, two foundations, and extensive community services.