Authorization Scheduling Coordinator - Community Health Center

Analyzes patient's ability to pay through verification of insurance, arranges payment plans and investigates pay options through third party resources. Pre-authorizes procedures and surgeries for facility and physician. Schedules follow up appointments and coordinates multiple appointments for patients throughout the Patient Centered Medical Home (PCMH) and ancillary services.

Updates patient registration and completes/updates forms as needed.

• Minimum two years previous office administrative/clerical experience preferred

• Reading and writing skills, organizing and filing, professional phone etiquette

• Sufficient computer skills are required to complete an online application and the pre-employment annual learning requirements

• In compliance with patient safety standards, must be able to effectively communicate in English; Bilingual abilities preferred

• The employee is occasionally required to climb or balance; stoop, kneel, crouch, or crawl.

• The employee must occasionally lift and/or move up to 25 pounds.

• Normal office environment. The noise level in the work environment is usually quiet to moderate while in the office.

2. Ability to prioritize, multi-task and handle emergent situations and critical deadlines.

3. Interviews patient and/or guarantor to obtain complete and accurate demographic/financial information to determine patient's ability to pay for services.

4. Screens Self-Pay and underinsured patients to determine their financial needs, referring patient to appropriate department for government assistance or Helping Hand program.

6. Requests deposits for upcoming surgeries and/or procedures.

Verifies Medical necessity of Medicare patients using current online software.

7. Contacts insurance company to obtain benefits, eligibility and any necessary authorizations

8.Proficient in the use of the all hospital associated software used to complete tasks.

9.Faxes appropriate documentation to insurance companies to assure timely response.

10.Verifies Medical necessity for Medicare Patients using current online software. Coordinates with other Barton departments to schedule patients for surgical, inpatient and hospital follow up appointments.

11. Coordinates multiple appointments in order to offer consecutively scheduled services.

12. Responds to the needs of the department by performing other duties, as necessary.