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Kootenai Health

Coeur d'Alene (ID)

On-site

USD 33,000 - 46,000

Full time

7 hours ago

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Benefits offered by this job

Comprehensive medical coverage

Dental, vision, life insurance

Tuition assistance after 90 days

Retirement plans with employer match

Competitive pay with shift differentia

Wellness program and discounts

PerkSpot discounts

Employee referral bonus program

Job summary

Kootenai Health in Coeur d'Alene is seeking a Scheduling/Registration Specialist to handle insurance verification, pre-authorization, scheduling, and patient estimates for all locations, inpatient, outpatient, and ED. You will document in Epic modules, coordinate with departments, assist uninsured patients with financial counseling, and ensure accurate registrations.

A strong customer service background and familiarity with CPT/ICD-10 codes are preferred.

Qualifications

High School Diploma or equivalent preferred.
Bachelor's degree in Business Management or closely related field preferred.
Minimum of 6 months prior customer service experience required.

Responsibilities

Performs accurate insurance verification, pre-authorization, scheduling and patient estimates in advance of patient care.
Provides scheduling and registration services for inpatient, outpatient, and Emergency Department.
Schedules procedures and visits in coordination with department workflows.

Skills

Customer service

Communication

Attention to detail

Education

High School Diploma or equivalent

Bachelor's degree in Business Management

Tools

Epic

Radiant

Cupid

Cadence

ADT

Job description

Schedule/Shift/Hours Full Time - Variable

Position Summary:

Responsible for timely scheduling, pre-authorization, pre-registration, registration and point of service collections for scheduled appointments and procedures, and for registration and point of service collections for non-scheduled patients, receiving care at all Kootenai Health locations.

Responsibilities:

Performs accurate insurance verification, pre-authorization, scheduling and patient estimates in advance of patient care
Provides scheduling and registration services for inpatient, outpatient, and Emergency Department
Schedules procedures and visits in compliance with business line and clinic-specific workflows, in coordination with each department’s specified patient care and provider needs
Determines financial responsibility through patient estimate calculations, and communicates to patients prior to service date, including network benefits, out-of-pocket costs, as well as Good Faith Estimate for uninsured patients in compliance with the No Surprises Act
Obtains and validates required referral information, including physician orders, clinical records, demographic, and benefit and eligibility information
Meets payor pre-authorization requirements to secure full insurance or government payer reimbursement
Documents all required scheduling, financial clearance, and registration information, including patient estimate, in appropriate Epic modules, to ensure a complete and legal record is recorded
For uninsured patients, identifies and verifies active payer sources for patients, or refers to financial counseling for third-party linkage or financial assistance
Provides courteous and efficient service to patients, accurate documentation/verification of patient pre-registration information, and professional and timely communications with medical staff and administrators
Assists in denials reduction through review and research of registration, authorization or medical necessity claims denials as needed; reports findings to department manager
As needed, educates patients on insurance policy limitations, self-pay obligation, payment plan or financing options; Refers uninsured patients to Financial Counseling for financial assistance or Medicaid linkage
Communicates with patients, physicians, payers, families, financial counselors, transitional care or transfer center staff, or other Kootenai Health partners
Performs other related duties as assigned
Familiar with standard concepts, practices, and procedures within the field
Regular and predictable attendance is an essential job function
Competent to meet age specific needs of the unit assigned

Requirements and Minimum Qualifications:

High School Diploma or equivalent preferred
Bachelors’ degree in Business Management or closely related field preferred
Minimum of 6 months prior customer service experience required
2 years’ experience working in a hospital, medical office, or health insurance setting, with third party government program or commercial insurance familiarity, specifically registration and insurance verification preferred
Previous Epic or other hospital scheduling/registration and clinical software experience preferred
Knowledge of CPT, ICD-10 and HCPCs codes preferred
Medical Terminology certificate preferred
Surgical, diagnostic, and/or office visit scheduling, patient accounts, and/or practice assistant experience, preferred
Previous Epic software experience in Radiant, Cupid, Cadence, ADT, and/or other Epic modules, preferred
Strong customer service skills and patients/customer centered focus in positive manner in all situations
Excellent communication skills (telephone, written, inter-personal and customer-relation)
MOAB Certification during Kootenai Health Essentials required

Working Conditions:

Must be able to lift and move up to 25 lbs
Must be able to kneel, stoop, crouch, or bend
Must be able to reach arms above or below shoulder height
Must be able to maintain a standing and/or sitting position
Must be able to move or traverse with/without accommodation
Must be able to push, pull, or transport heavy equipment
Must be able to communicate and exchange accurate information
Typical equipment used in an office job
Potential exposure to unpredictable individuals and volatile interactions
Repetitive movements

About Kootenai Health

Kootenai Health is a highly esteemed healthcare organization serving patients throughout northern Idaho and the Inland Northwest. We have been recognized with many accolades and distinctions, including being a Gallup Great Workplace, No. 1 Best Place to Work in Large Healthcare Organizations, and Magnet™ Status for Nursing Excellence. We pride ourselves on our outstanding reputation as an employer and a healthcare provider.

As your next employer, we are excited to offer you:

Comprehensive medical coverage, including fully employer‑paid options for eligible full‑time employees, plus affordable plans for part‑time staff.Benefits begin on the 1st of the month following 30 days of employment.
Dental, vision, life, and pet insurance, with telemedicine and wellbeing resources available to all employees
Tuition assistance after 90 days to support your professional growth
Retirement plans with pre‑tax and Roth options and employer matching from 3%-6%
Competitive pay, plus night, weekend, and PRN shift differentials
Award‑winning wellness program with coaching, financial wellness resources, and free or discounted access to fitness centers and premium wellbeing apps
PerkSpot discountsproviding access to thousands of exclusive deals in over 25 categories
And an employee referral bonus program

Kootenai Health provides exceptional support for extraordinary careers. If you want to work on a high-quality, person-centered healthcare team, we can't wait to meet you!

Kootenai Health complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, veteran status, or sex. Kootenai Health does not exclude people or treat them differently because of race, color, national origin, age, disability, veteran status, or sex.

A variety of medical, dental, and vision insurance plans are available to both full and part-time employees, with some available at no cost to the employee. In addition, benefit-eligible employees also gain access to the following: