Job Information
Job Order ID :
WI3776917
# of Positions :
1
Minimum Education Level :
High School Diploma/GED
Experience Required :
Training :
High School Diploma/GED Equivalent
Duration :
Shift :
Unspecified
Hours per week:
40
Job Description
JOB REQUIREMENTS: Overview Responsible for correctly prioritizing and
completing all steps of the scheduling, referral management,
authorization, verification and registration process prior to patients
receiving services. Identifies scheduling needs, reviews schedules,
follows scheduling protocols and enters visit information for
appropriate scheduling. Identifies, verifies, and captures appropriate
patient demographic information and health insurance benefit eligibility
information. Performs payer coverage investigation, as necessary,
utilizing both internal and external tools and resources, to obtain
reimbursement verification. Utilizes knowledge including, but not
limited to, managed care, commercial, government, and work comp
insurance billing requirements, as well as current coding guidelines and
standards, to ensure resolution of pre-service edits, appropriate
management of claims, initiation and direction of accounts for
pre-authorization as required, prevention of timely filing claim
denials, and procurement of appropriate reimbursement. This position
requires understanding of healthcare Revenue Cycle and the importance of
evaluating and securing all appropriate financial resources to maximize
reimbursement to the health system. This position assumes clinical and
financial risk of the organization when collecting and documenting
information on behalf of the patient. Responsibilities Essential Duties
and Responsibilities Ensures all scheduled visits are pre-registered and
accounts are appropriately certified / authorized in advance of the
service date. Initiates, obtains, and documents
referrals/authorizations/pre-certifications in appropriate systems.
Answers incoming external/internal telephone calls, determines purpose
of calls and schedules appropriately or routes to physician practices or
other departments as appropriate. Registers new and returning patients
via multiline phone lines, and various Mercy systems/applications for
visits within the Mercyhealth System ensuring that all required elements
are gathered to ensure payment for the service provided. Initiates
outbound calls to external providers, patients, and/or payers based on
referrals entered into the system and schedules appropriately.
Communicates with provider\'s office as needed. Ensures compliance with
Access and Revenue Cycle related policies and procedures. Manages
waitlists, rescheduling/cancellation of appointments as necessary.
Completes accounts in assigned WQ\'s. Manages patient initiated
scheduling requests through MyChart, Telehealth, or other
self-scheduling applications. Maintains a high level of professionalism
and provides a quality patient experience. Schedules appointments
appropriately according to provider and clinic based protocols. Performs
ancillary tasks by providing outreach to\... For full info follow
application link. EOE&AA/M/F/Vet/Disabled. Mercy is an equal employment
opportunity employer functioning under Affirmative Action Plans.
\*\*\*\*\* APPLICATION INSTRUCTIONS: Apply Online:
ipc.us/t/DB5496D0F1E347C1
Company Information
Name :
MERCY HEALTH CORPORATION
Application Information