Cass Regional Medical Center
Patient Scheduling Coordinator
Collaborates with hospital staff, outreach staff, PCP offices, insurance companies, patients and other clients to provide patient scheduling. Answers phone calls from physician offices, hospitals and patients and all other clients using exemplary customer service skills. Accurately enters required information into computer base. Maintains patient confidentiality as defined by state, federal and company regulations. Establishes effective rapport with other employees, professional support service staff, customers and everybody else they communicate with. Actively supports the values of Cass Regional Medical Center to ensure an exceptional customer experience. Verifies eligibility, benefits and authorizations, referrals for all ancillary scheduled procedures and Pain Clinic appointments. Verifies insurance eligibility and benefits on selected clinics and ancillary procedures. Requests and/or obtains referrals and authorizations, and is responsible to verify the CPT codes and effective dates for all authorizations/referrals received. Notifies patient and ordering practitioner of non-covered benefits, or inability to obtain authorization. Provides insurance companies with appropriate clinical records to obtain authorizations. Enters proper documentation of conversations with patients, insurance companies and other staff regarding authorization, coverage and/or denials. Performs medical necessity checks on scheduled ancillary procedures. Performs medical necessity checks daily and obtains correct diagnosis to pass the check by looking through all available medical records and/or calling the ordering physician's office for assistance. Other duties as assigned. High school diploma. Preferred experience in medical terminology, medical records documentation, orders and medical testing procedures.
Collaborates with hospital staff, outreach staff, PCP offices, insurance companies, patients and other clients to provide patient scheduling. Answers phone calls from physician offices, hospitals and patients and all other clients using exemplary customer service skills. Accurately enters required information into computer base. Maintains patient confidentiality as defined by state, federal and company regulations. Establishes effective rapport with other employees, professional support service staff, customers and everybody else they communicate with. Actively supports the values of Cass Regional Medical Center to ensure an exceptional customer experience. Verifies eligibility, benefits and authorizations, referrals for all ancillary scheduled procedures and Pain Clinic appointments. Verifies insurance eligibility and benefits on selected clinics and ancillary procedures. Requests and/or obtains referrals and authorizations, and is responsible to verify the CPT codes and effective dates for all authorizations/referrals received. Notifies patient and ordering practitioner of non-covered benefits, or inability to obtain authorization. Provides insurance companies with appropriate clinical records to obtain authorizations. Enters proper documentation of conversations with patients, insurance companies and other staff regarding authorization, coverage and/or denials. Performs medical necessity checks on scheduled ancillary procedures. Performs medical necessity checks daily and obtains correct diagnosis to pass the check by looking through all available medical records and/or calling the ordering physician's office for assistance. Other duties as assigned. High school diploma. Preferred experience in medical terminology, medical records documentation, orders and medical testing procedures.