Performs advanced scheduling functions regarding Centralized Scheduling appointments and financial clearance of all procedures. This process includes verifying all financial requirements provided by the physicians and obtaining all required authorizations and medical necessity compliance. This position includes several advanced functions such as shifting appointments as needed and taking verbal orders when required. Duties also include balancing and maintaining constant coordination with provider clinic and all included NPMC departments. Must establish and maintain effective, productive, and cooperative working relationships with clinic staff and any other NPMC departments or offices contacted in the course of this work. Will develop and maintain effective practices.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
These functions are not intended to be an exhaustive list of all responsibilities, duties and requirements of the job. Other functions may be assigned as needed.
- Independently identify and prioritize procedures for Prior Authorization and/or compliance.
- Schedule all required order requests received for procedures in required time frame.
- Input accurate information in Meditech so departments may view schedules at any time.
- Ensure information is entered to allow for patient automated reminders.
- Verifies physician insurance authorizations and completes compliance for ALL surgeries.
- Obtains pre-certifications and compliance as required on all tests. Ensures financial clearance.
- Establishes and maintains effective, productive, and cooperative working relationships with staff and any other departments or offices contacted in the course of this work.
- Work daily order/authorization reports to ensure timeliness, accuracy, and compliance.
- Answer multiline phone, triage patient calls, retrieve and process voice messages.
- Ensures that NPMC has all financial information required to bill properly for the services.
- Assists with all members of scheduling and registration team as needed.
- Supply required information regarding denials and denial trends.
Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.