Requisition Number:
R-23578
Facility:
LOC0001 - 55 Fogg Road55 Fogg RoadWeymouth, MA 02190
Department Name:
SSH Perinatology
Status:
Full time
Budgeted Hours:
40
Shift:
Day (United States of America)
Under the direction of the Practice Manager, is responsible for patient scheduling, pre–registration , insurance authorization and precertification for the scheduled services.
Compensation Pay Range:
$22.20 - $31.75
ESSENTIAL FUNCTIONS
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1 - Books appointments for services at South Shore Hospital (SSH). Booking may be done with the patient, physician or physician staff and may be done by telephone or fax.
- a - Is able to re-schedule/cancel patients in the computer, if required.
- b - Will insure that patient has an understanding of test and any preps that are necessary.
- c - Is efficient using PICIS OR Manager
- d - Schedules for most departments within the hospital according to hospital standards.
- e - Schedule off site appointments for wound clinic, Stetson and 780 Main treatment rooms.
- f - Pre register all patients for scheduled appointments
- g - Able to run and work off of applicable reports.
- h - Provide quality customer service to internal and external customers.
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2 - Responsible for all pre-certification,eligibility and verification of benefits on all accounts.
- a - Insures that all accounts are processed with less than 5 denials per year.
- b - Can follow downtime process effectively.
- c - Retrieves authorizations as necessary
- d - Interacts with provider office/insurance companies for the authorization process
- e - Verifies all insurance eligibility according to hospital standard
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3 - Can register meeting the department standard of 98% accuracy rate.
- a - Verify demographic information on all patients
- b - Pre register all patients that call for scheduled appointments
- c - Ensure that all necessary information is obtained from the patient
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4 - Technology – Embraces technological solutions to work processes and practices.
- a - Able to function using department computer programs.
- b - Able to function and have a complete understanding of computer downtime process.
- c - Able to review and analyze NEHEN and Passport programs.
- d - Manage own API system.
- e - Able to utilize the phone system, including VERA system.
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5 - Safety Awareness – Fosters a "Culture of Safety" through personal ownership and commitment to a safe environment.
- a - Adheres to patient identification policies/procedures.
- b - Adheres to universal precautions and respiratory etiquette guidelines.
- c - Understands individual roles/responsibilities during hospital codes (e.g. Code Disaster, Code Red).
JOB REQUIREMENTS
Minimum Education - Preferred
Associates degree preferred.
Life experiences considered
Minimum Work Experience
2-5 years experience in Patient Registration, Billing dept., Scheduling dept., or MD offices.
Required additional Knowledge, and Abilities
- Knowledge of medical terminology.
- Telephone experience required.
- Strong Computer Skills
- Customer Service experience required.
- Insurance Third party requirements.
- Ability to work under pressure.
- Works independently/make decisions on their own.
- Can function as part of a team.
Monday, Wednesday, Thursday, Friday 6:30-5:00