University Medical Center of Southern Nevada (UMC)
Per Diem Scheduler Authorization Representative
University Medical Center of Southern Nevada (UMC), Las Vegas, Nevada, us, 89105
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Per Diem Scheduler Authorization Representative
role at
University Medical Center of Southern Nevada (UMC)
As an academic medical center with a rich history of providing life-saving treatment in Southern Nevada, UMC serves as the anchor hospital of the Las Vegas Medical District, offering Nevada’s highest level of care to promote successful medical outcomes for patients. We are home to Nevada's ONLY Level I Trauma Center, Designated Pediatric Trauma Center, Burn Care Center, and Transplant Center. We are a Pathway Designated facility by ANCC, and we are on our journey to Magnet status.
Benefits
Employer-paid pension plan (Nevada PERS)
Competitive salary & benefits package
Position Summary Serves as the primary point of contact for patient scheduling, registration, and ensuring timely authorization of insurance carriers to optimize the hospital's revenue cash flow. Coordinating schedules (i.e. appointments) for patients and providers. Collects, verifies and updates patient demographic and guarantor information. Verifies insurance benefits/eligibility, manages referrals, runs patient estimate, collects copays and patient estimated out of pocket expenses and appropriate. Performs appointment scheduling, registration and customer services duties. Obtains authorization and re-authorization as needed, for both professional and facility services as well as notification for inpatient stays.
Job Requirements Education/Experience:
Equivalent to graduation from high school and two (2) years Admitting/Discharge experience in a hospital setting or one (1) year surgery scheduling experience or one (1) year experience working in a physicians office performing scheduling/authorization activities.
Additional Position Requirements
At least one (1) Year of registration experience.
At least two (2) years of Insurance Verification Experience.
At least one (1) year of experience with Epic Systems.
Open availability to Nights.
Preferred Qualifications
Notice of Admission experience.
At least two (2) years of experience with submitting authorizations.
Knowledge, Skills and Abilities Scheduling and authorization procedures; medical terminology; laws, rules, and regulations governing area of assignment; financial system and insurance requirements; commercial and governmental payers, Medicare plans; CPT, ICD 10 procedure coding; Medicare rules and regulations; department and hospital safety practice and procedures; patient rights; age specific patient care practices; infection control policies and practices; handling, storage, use and disposal of hazardous materials; department and hospital emergency response policies and procedures. Communicating effectively with physicians, patients, and other employees; customer services; computerized scheduling system; verifying benefits and eligibility; forms and applications according to laws and guidelines in area of assignment; preparing technical and statistical reports; performing technical, specialized office support work; using initiative and judgement within established procedural guidelines; setting priorities and meeting critical deadlines; using computers and related software applications; communicating with a wide variety of people from diverse socio-economic and ethnic backgrounds; establishing and maintaining effective working relationships with all personnel contacted in the course of duties; efficient, effective and safe use of equipment.
Physical Requirements and Working Conditions Mobility to work in a typical clinical setting and use standard office equipment, stamina to remain seated for extended periods of time and maintain concentration, vision to read printed materials and a VDT screen, and hearing and speech to communicate effectively in person and over the telephone. Strength and agility to exert up to 10 pounds of force occasionally and/or an eligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this classification.
Seniority Level Entry level
Employment Type Part-time
Job Function Management and Manufacturing
Industries Hospitals and Health Care
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Per Diem Scheduler Authorization Representative
role at
University Medical Center of Southern Nevada (UMC)
As an academic medical center with a rich history of providing life-saving treatment in Southern Nevada, UMC serves as the anchor hospital of the Las Vegas Medical District, offering Nevada’s highest level of care to promote successful medical outcomes for patients. We are home to Nevada's ONLY Level I Trauma Center, Designated Pediatric Trauma Center, Burn Care Center, and Transplant Center. We are a Pathway Designated facility by ANCC, and we are on our journey to Magnet status.
Benefits
Employer-paid pension plan (Nevada PERS)
Competitive salary & benefits package
Position Summary Serves as the primary point of contact for patient scheduling, registration, and ensuring timely authorization of insurance carriers to optimize the hospital's revenue cash flow. Coordinating schedules (i.e. appointments) for patients and providers. Collects, verifies and updates patient demographic and guarantor information. Verifies insurance benefits/eligibility, manages referrals, runs patient estimate, collects copays and patient estimated out of pocket expenses and appropriate. Performs appointment scheduling, registration and customer services duties. Obtains authorization and re-authorization as needed, for both professional and facility services as well as notification for inpatient stays.
Job Requirements Education/Experience:
Equivalent to graduation from high school and two (2) years Admitting/Discharge experience in a hospital setting or one (1) year surgery scheduling experience or one (1) year experience working in a physicians office performing scheduling/authorization activities.
Additional Position Requirements
At least one (1) Year of registration experience.
At least two (2) years of Insurance Verification Experience.
At least one (1) year of experience with Epic Systems.
Open availability to Nights.
Preferred Qualifications
Notice of Admission experience.
At least two (2) years of experience with submitting authorizations.
Knowledge, Skills and Abilities Scheduling and authorization procedures; medical terminology; laws, rules, and regulations governing area of assignment; financial system and insurance requirements; commercial and governmental payers, Medicare plans; CPT, ICD 10 procedure coding; Medicare rules and regulations; department and hospital safety practice and procedures; patient rights; age specific patient care practices; infection control policies and practices; handling, storage, use and disposal of hazardous materials; department and hospital emergency response policies and procedures. Communicating effectively with physicians, patients, and other employees; customer services; computerized scheduling system; verifying benefits and eligibility; forms and applications according to laws and guidelines in area of assignment; preparing technical and statistical reports; performing technical, specialized office support work; using initiative and judgement within established procedural guidelines; setting priorities and meeting critical deadlines; using computers and related software applications; communicating with a wide variety of people from diverse socio-economic and ethnic backgrounds; establishing and maintaining effective working relationships with all personnel contacted in the course of duties; efficient, effective and safe use of equipment.
Physical Requirements and Working Conditions Mobility to work in a typical clinical setting and use standard office equipment, stamina to remain seated for extended periods of time and maintain concentration, vision to read printed materials and a VDT screen, and hearing and speech to communicate effectively in person and over the telephone. Strength and agility to exert up to 10 pounds of force occasionally and/or an eligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this classification.
Seniority Level Entry level
Employment Type Part-time
Job Function Management and Manufacturing
Industries Hospitals and Health Care
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