Revenue Cycle Pre-Admission & Authorization Coordinator

Ummsphysician; Largo (MD); On-site; USD 35,000 - 55,000; Full time

Job summary

Join a nationally recognized academic medical center where your skills will enhance patient care and advance nursing science. This role involves scheduling patients, managing insurance information, and ensuring smooth operations within a vibrant healthcare environment. You'll be part of a dynamic team dedicated to providing exceptional care and support to patients. With a focus on effective communication and organizational skills, this position offers a fulfilling opportunity to make a difference in the lives of many. Be part of a forward-thinking institution that values your contributions and fosters professional growth.

Qualifications

• High School Diploma or equivalent is required.
• Knowledge of various insurance coverage is essential.

Responsibilities

• Schedules patients for admissions and outpatient tests.
• Obtains and inputs pre-authorization insurance information.

Skills

Verbal communication skills

Written communication skills

Interpersonal skills

Knowledge of insurance coverage

Effective listening skills

Education

High School Diploma or equivalent (GED)

Job description

• Full-time
• Shift: Day
• Location: Medical Center
• Position Type: Non-Exempt

Company Description

Renowned as the academic flagship of the University of Maryland Medical System, our Magnet-designated facility is a nationally recognized, academic medical center with opportunities across the continuum of care. Come join UMMC and discover the atmosphere where talents and ideas come together to enhance patient care and advance the science of nursing. Located in downtown Baltimore near the Inner Harbor and Camden Yards, you won’t find a more vibrant place to work!

Job Description

I. General Summary

• Under general supervision, performs scheduling, pre-authorization and administrative activities for patients. Ensures the accurate registration of patients, interviews patients to obtain necessary demographic and insurance information to determine patients’ financial status.

II. Principal Responsibilities and Tasks

The following statements are intended to describe the general nature and level of work being performed by people to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.

• Schedules patients for admissions, evaluations, re-evaluations and treatment in accordance with physicians’ schedules, managed care contracts and UMMS policies and procedures. Accepts referrals from social workers, discharge planners, physicians and physicians’ offices. Schedules outpatient tests and procedures required.
• Obtains and inputs pre-authorization insurance and demographic information into the appropriate medical/scheduling system. Verifies patient benefits and eligibility prior to completing referral.
  

Qualifications

III. Education and Experience

• High School Diploma or equivalent (GED) is required.

IV. Knowledge, Skills and Abilities

• Demonstrated knowledge of various insurance coverage (i.e. Medicaid, HMOs).
• Highly effective verbal, written and interpersonal skills to effectively communicate hospital policies and procedures to medical staff, colleagues, patients and/or visitors, complete admission and/or other documentation and respond promptly to instructions given.
• Effective listening skills with the ability to listen and understand patient information and translate it to written documentation.

Additional Information

All your information will be kept confidential according to EEO guidelines.

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