SUMMARY

Responsible for obtaining all pre-service documentation from various sources and verifying all the necessary information, such as insurance, diagnosis, and codes, for accuracy. Interview patients to discuss their financial obligations, collect current and past-due money, set up payment plans, and register patients. 

RESPONSIBILITIES

• Demonstrates a consistently high degree of accuracy in the accomplishment of daily activities.

• Receive information regarding proposed services via phone, fax, email, or worklist.

• Obtain the appropriate required clearances.

• Verify insurance benefits with proper diagnosis and procedure codes by: Accessing Passport, online insurance verification websites, or any other way possible.

• During Pre-Registration: Responsible for obtaining all financial, demographic, and medical data for patient billing and creating an account for the patient.

• Counsel the patient about coverage and patient responsibility.

• Contact the clinic for any authorization or pre-cert information needed for a claim by:

o Calling or emailing the appropriate office/person at the clinic for authorizations and pre certifications

o Documents all information on the patient’s account in the computer system

• Notifies the Revenue Cycle Coordinator or Director of any unusual cases or extenuating circumstances for the following day.

• Schedules patient for service, and obtains insurance authorization, if appropriate.

• Interacts professionally with patients, families, and other healthcare team members positively and courteously.

• Provide backup for other departmental positions as needed.

• Maintains a secure environment to protect patient information. 

Education: Two (2) years of college preferred.

Experience: At least two (2) years of experience in a healthcare scheduling setting is preferred, with additional experience in registration, insurance verification, and extensive customer service skills. Special Skills: Extensive customer service experience in healthcare, preferably scheduling. Must know and decipher medical CPT codes and procedures.