Scheduling Concierge-Full Time-Days/Evenings

100 Mary Washington Healthcare; Virginia; In loco; USD 29.000 - 40.000; Tempo pieno

Descrizione del lavoro

Mary Washington Healthcare is seeking a Concierge Scheduler to accurately handle scheduling, pre-registration, and insurance verification tasks. This role emphasizes precise data collection, timely processing, and proactive coordination with multiple departments to ensure financial clearance for services.

The ideal candidate has strong data entry, customer service, and medical terminology skills, with experience in EMR systems and effective communication.

Competenze

• High school diploma or equivalent required.
• Two years’ experience in patient scheduling, registration or healthcare billing or completion of MWHC Intern Program.
• Experience in data entry, customer service, collections and medical terminology preferred.
• Proficiency with electronic medical record software and common office technology required.
• Familiarity with Mary Washington Healthcare IT systems preferred.
• Strong verbal and written communication skills required.
• Ability to prioritize work without on-site supervision.
• Bilingual (Spanish) skills a plus.

Mansioni

• Performs scheduling of assigned procedures accurately and timely.
• Schedules surgical cases and collects required data; identifies equipment and preferences.
• Schedules/pre-registers pre-admission testing services and expedites services from other departments.
• Secures financial clearance and accounts for services promptly.
• Provides price quotes and estimates.
• Interviews patients and follows up with no-shows or cancellations.
• Gathers diagnosis and CPT/HCPCS codes for insurance verification and pre-authorization/certification.
• Escalates scheduling concerns to appropriate supervisors.
• Coordinates with physician practice to rearrange schedules as directed.
• Coordinates peer-to-peer reviews between physician and insurer as needed.
• Maintains documentation for insurance authorization.
• Monitors insurance verification/authorization procedures and reports.
• Processes verifications for Medicare, Medicaid, and commercial payers.
• Obtains and verifies insurance authorizations.
• Ensures authorization data matches patient accounting and service details.
• Collaborates with staff to secure the encounter financially.
• Prepares patient waivers/ABNs for encounters not financially secured.
• Communicates patient financial responsibility and deposits.
• Conveys status of referrals, authorizations, and network benefits.
• Shares operational updates with leadership regularly.
• Identifies opportunities for process improvements and compliance.

Conoscenze

Data entry

Customer service

Medical terminology

Telephone etiquette

Written communications

Organization

Formazione

High school diploma or GED

Strumenti

EMR software

Descrizione del lavoro

Job Summary

This position is responsible for accurately performing Concierge functions, including scheduling, posting of surgical cases, pre-registration, insurance verification, and pre-certification.

Essential Functions & Responsibilities

• Performs accurately and timely scheduling of assigned procedures in accordance with applicable department specifications and physician script order.
• Schedules surgical case(s), obtains required data elements, and identifies special equipment/ instrumentation, and preferences.
• Schedules/pre-registers appropriate pre-admission testing services; expedites services from other departments.
• Obtains the information necessary to provide financial clearance and successfully secures accounts for services in a timely manner by utilizing on-line resources, websites, telephone, etc.
• Provides price quotes and estimates.
• Interviews patients and follows up with patients who cancel procedure appointments or are no-shows.
• Collects diagnosis information and CPT/HCPCS codes from physician’s offices at the time of scheduling to aid in insurance verification and pre-authorization/certification process.
• Refers concerns/problems in scheduling cases to Specialty Coordinator, Resource Team, then to Administrative Manager/Supervisor as needed.
• Assists physician practice with re-arranging the schedule as directed and notifies appropriate parties.
• Coordinates peer to peer reviews as needed between the physician and the insurance company.
• Provides and maintains clinical documentation necessary for securing insurance authorization.
• Monitors reports in accordance with insurance verification and authorization procedures.
• Processes insurance verifications through various systems and websites in a timely and effective manner.
• Performs all aspects of the insurance verification process for Medicare, Medicaid, and commercial insurance payers to ensure compliance and appropriate assignment for the coordination of benefits.
• Obtains authorizations from insurance companies/physician offices.
• Certifies that the authorization has not expired, complete and accurate information is entered into the patient accounting system, the procedure scheduled, and the date of service and facility name are consistent with the authorization.
• Collaborates with internal Associates and departments to financially secure the encounter.
• Prepares and communicates patient waivers/Advanced Beneficiary Notifications for encounters that are not financially secure to the department or area of responsibility.
• Assists with communicating patient/guarantor financial responsibility, co-pay, deductible and/or self-pay deposits.
• Communicates the status of a referral, pre-authorization, network benefits, out of network benefits, and patient waivers.
• Communicates operational activities, issues, and audit findings with appropriate leadership on a regular and timely basis.
• Identifies and recommends process improvements for the surgical practice.
• Maintains documentation necessary for compliance with state, federal and other regulatory agency requirements.
• Performs other duties as assigned.

Qualifications

• High school diploma or equivalent GED required.
• A minimum of two years’ experience in patient scheduling, registration or healthcare billing required or completion of MWHC Intern Program.
• Experience in data entry, customer service, collections and medical terminology preferred.
• Proficiency with electronic medical record software applications, computers, telephones, fax machines, and the use of various software applications required.
• Familiarity with Mary Washington Healthcare’s IT systems preferred.
• Strong verbal, including telephone etiquette, and written communications skills required.
• Ability to prioritize and perform work in an organized, efficient and effective manner without on-site supervision and direction is required.
• Bilingual (Spanish) skills a plus.

Equal Opportunity

MWHC will not discriminate in its employment practices due to an applicant's race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status (EOE). We are also committed to equitable and transparent compensation practices and comply with all applicable pay transparency and pay equity laws.

Required Physical Requirements

Constant (67-100% of workday) sitting and use of arms and hands; occasional (0-33% of workday) standing, walking, bending, squatting; ability to lift, push, and pull up to 10 lbs.; auditory and visual skills.

Mental Requirements

Possesses critical thinking and analytical skills. Ability to multi-task. Ability to communicate effectively and collaborate with a multi-disciplinary team.

Environmental Requirements and Exposure Hazards

Potential risk of exposure to chemicals.

Workplace Accommodations

It is the policy of Mary Washington Healthcare to provide reasonable accommodations to qualified individuals with a disability who are applicants for employment or Associates.

Compensation Pay Range

$20.91 - $29.28

Working at Mary Washington Healthcare

• Career opportunities for new grads, experienced clinical professionals, or those looking to begin a career in healthcare.
• Mary Washington Healthcare is a certified Great Place to Work company and treats Associates like family – with respect, understanding, and communication.
• Safety is a top priority; all Associates will be required to take the following vaccines: Annual flu vaccine.
• MWHC reserves the right to amend this list at any time. Medical and Religious exemptions may apply. Will be discussed at interview.