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Receives physician and patient communications to schedule patients and manages the registration process. Responsible for accurate and timely interviewing of patients and/or relative in a courteous manner to obtain registration data based upon comprehensive data elements to complete the registration process.

MINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, EXPERIENCE, AND/OR LICENSURE: 1. High school diploma or equivalent required AND One year of recent experience in a physician/hospital scheduling and registration or business office environment OR; Completed Medical Assistant (MA) degree OR; Associate Degree.

CORE DUTIES AND RESPONSIBILITIES:The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an exhaustive list of all responsibilities and duties. Other duties may be assigned.

1. May be scheduled to work various shifts based on departmental and patient needs.
2. Schedules outpatient procedures via telephone with patients and offices in a courteous, professional manner.
3. Coordinates multiple procedures patients have to ensure they are scheduled on the same day and within an appropriate time frame.
4. Provide patients and offices with accurate instructions regarding the schedule procedure (i.e., NPO, arrival time, where to arrive, etc.).
5. Check order documents for completeness. Validate orders against scheduled services.
6. Clearly documents activities and actions take on accounts, which include but not limited to, authorization, communication with patients, staff and other departments.
7. Maintains scheduling and registration accuracy threshold of 95% as identified in audit processing.
8. Perform prior authorization process by performing medical review and entering authorizations into system.
9. Works and assists with the billing department in researching and resolving rejected, incorrectly paid, and denied claims as requested.
10. Ability to multi task and perform duties well; while under pressure; while meeting deadlines.
11. Obtains demographic/billing/insurance information from patient/family/legal guardian and correctly enters into the scheduling and registration/billing systems for service and claim processing.
12. Understand and use applicable CPT and ICD-9 codes.
13. Verify insurance; validate pre-cert/pre-auth information after completion of insurance verification and record results in system. Preforms other insurance related functions as required or necessary.
14. Completes Medicare Secondary Payer forms, where applicable.... For full info follow application link.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities. Please view Equal Employment Opportunity Posters provided by OFCCP here. The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)