UHCP Scheduling Coordinator-Lead - Summerville

Company: University Health Care System
Location: Augusta
Posted on: May 16, 2022

Job Description:

Overview

The UHCP Scheduling Coordinator Lead will be responsible for overseeing the activities of personnel in the Shared Resource department to include training and education for current staff and new hires. Responsible for overseeing the activities of personnel in the Shared Resource department to include training and education for current staff and new hires. Utilizes Epic reporting applications to run volume and financial reports. Must keep abreast of scheduled workload at all times and be able to set priorities. Accountability is measured through performance appraisals, quality of work, productivity, direct observation, internal and external customer feedback and peer review. Responsible for processing pre-authorization and prior-approval requests according to managed care guidelines or other "risk" arrangement.

Reports through electronic and/or other means the disposition of such request to the requesting physician(s) and/or provider. Telephones, faxes, or otherwise communicates with insurance carriers, tracking work in EPIC on a daily basis. Required to maintain a working knowledge medical terminology and medical necessity guidelines for procedures in order to obtain prior-authorization of diagnostic procedures involving primary care and multi-specialty practices. Serves as liaison between patients, staff, physicians, hospital departments, and other professionals to ensure optimal direct patient care and accuracy within the revenue cycle. Also responsible for Centralized Scheduling, referral workflows (internal and external) and pre-registration workflows

Qualifications

Licensure/Certification:

N/A

Experience:

High School graduate/GED with five (5) years of responsible clinical/administrative experience required. Experience particularly in scheduling, insurance guidelines, and pre-authorization in a hospital or physician clinic setting. Thorough knowledge of registration functions, office procedures, and excellent organizational skills required. Experience dealing with public demonstrating excellent customer service skills required. Experience in patient billing/insurance office to recognize and analyze billing/charging discrepancies is preferred.

Associates degree with three (3) year of responsible clinical/administrative experience required. Experience particularly in scheduling, insurance guidelines, and pre-authorization in a hospital or physician clinic setting. Thorough knowledge of registration functions, office procedures, and excellent organizational skills required. Experience dealing with public demonstrating excellent customer service skills required. Experience in patient billing/insurance office to recognize and analyze billing/charging discrepancies is preferred.

Completion of Medical terminology course highly preferred.

Knowledge, skills, abilities:

Basic knowledge of growth and development relevant to the ages of the patient's Basic knowledge of the diseases and health care needs of the patient population Ability to think critically and prioritize multiple tasks and Must pay attention to detail. Ability to perform efficiently and effectively under Must recognize importance of privacy and maintain confidentiality at all Excellent verbal and written communication skills to interact for extensive telephone and personal interactions with internal and external customers (ie, patients, physicians and practice managers). Excellent problem solving and analytical skills to effectively allow for problem/conflict Demonstrated traits of initiative and dependability Philosophy of health care services is compatible with that of the mission of University 35-wpm typing Experience with PC based applications strongly preferred (ie, Microsoft Office, Visio, etc). Demonstrated knowledge of IC D-10 coding, medical terminology, financial counseling, utilization management principals and state and federal regulations concerning all Third Party Demonstrates a high level of organizational skills for accurate and efficient management of information, varied responsibilities and job Requires initiative and dependability. Advanced knowledge of basic computer programs and electronic medical record navigation Advanced knowledge of office procedures and equipment (EHR system, telephone etiquette, copier/fax machine, ). Advanced knowledge of appointment scheduling and insurance/prior-authorization Advanced knowledge of diagnostic Advanced level of independent judgment and mental/visual skills required in order to assist with work in the various areas of office (filing, telephones, prior authorizations, data entry, ). Flexibility and ability to work in stressful Demonstrated ability to train and communicate effectively with all team members and

Keywords: University Health Care System, Augusta , UHCP Scheduling Coordinator-Lead - Summerville, Other , Augusta, Georgia