Scheduling & Pre- Authorization Coordinator II-Radiation Oncology
Facility: University of Maryland Medical Center
Employment Type: Full Time
Location: Baltimore, MD Shift/Schedule: DAY
Department: UMH: Radiation Oncology
Posted FTE: 1
Job Posting Category: Clerical
Hours of Work: 7-7
Job ID #: 41777
Benefits Eligible: Yes
Minimum Education: High School Diploma or GED
License/Cert Required: Not Indicated
Minimum Experience: 2 years of experience
Specialty Type: Not Applicable
What You Will Do:
Under supervision of the Practice Manager, acts as a lead to the front desk staff and their work functions. Assist the practice manager in developing and administering departmental policies and procedures to ensure an efficient collection and authorization acquisition process. Maintains consistent and accurate communication with the Medical System staff, referring physicians and patients.
Principal Responsibilities and Tasks
The following statements are intended to describe the general nature and level of work being performed by people to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.
1.Coordinates and supervises the daily functions of the front desk staff. Oversees/ performs patient registration activities, assuring accurate, complete and timely processing of appropriate documents.
A.Oversees/verifies patient demographic and financial information, confirms insurance coverage referral and or authorization information, accurately registers patients in the STAR and IDX systems.
B.Understands UMMS and specific clinical services coverage policies and communicates to staff and patients.
C.Oversees that the front desk staff maintains a less than 10% error rate on their registration error report by reviewing schedules in advance and notifying patients, as necessary, for required referral and authorizations.
2.Oversees the scheduling of patient appointments, procedures and diagnosis tests. Provides printed schedules in advance to physicians, nurses, radiology etc. on a daily basis.
A.Complies with IDX scheduling standards. Monitors overbooking and/or conflicting scheduling situations and informs the clinic manager..
B.Assists staff to maintain that patients insurance and referrals are checked one day prior to the appointment.
C.Reviews schedule for co-pay obligations and outstanding balances and flags patients accounts. Alerts staff and patients to prior balances and co-payments.
3.Collects and checks encounter forms for completeness and accuracy. With knowledge of insurance rules and regulations, collects appropriate co-pays and co insurance payments. Compiles encounter form batches, both hospital and practice, links referrals and enter STAR charges in a timely manner.
A.Collects and tracks encounter forms. Responsible for collecting 100% of encounters forms at the end of the business day. Checks encounter forms for accurate patient information, ICD 9 codes, time spent with patient for facility charges and physician signature.
B.Assures that staff collect appropriate co-pay and facility fees, completes receipt and payment logs. Secures payments in cash box/safe as appropriate. Provides the patient with proper documentation and receipts.
C.Responsible for batching STAR and IDX encounter forms on a daily basis, checking forms for completeness. Check completed forms against daily schedule to maintain that no forms are missing.
D.Maintains that staff enter all STAR charges by the end of the business day. Responsible for accuracy and checks Daily Revenue Report the next day for any missed or incorrect charges.
4.Answers telephone and patient inquires. Responds to inquires, takes legible, accurate and complete messages. Locates provider or nurse when appropriate.
5.Provides guidance and instruction to fellow employees where skills are in need of improvement, as needed. Provides information to Practice Manager regarding work progress, actions and issues in a timely and effective manner.
6.Assists Practice Manager in conducting orientation and training of new employees.. Actively and continuously improves work processes. Uses continuous improvement tools and methods to improve individual, team and cross departmental performance. Bases improvement on customer requirements, data root cause analysis and outcomes.
7.Maintains inventory and orders appropriate supplies for the clinic.
What You Need to Be Successful:
Education and Experience
1.High School Diploma or equivalent (GED) is required.
2.Two years office work in a medical office or healthcare environment is required. Registration, front desk, referral services and billing experience preferred. In addition, two years of supervisory or lead worker experience.
Knowledge, Skills and Abilities
1.Proficient in PC applications and accurate data entry. Use of other medical registration system and/or STAR/IDX preferred..
2. Successful completion of the UMMS computer systems certification test within one attempt and maintain a minimum of 90% accuracy.
3.Maintain a 10% registration error rate as a departmental specific goal for registration accuracy.
4.Knowledge of medical terminology in order to understand diagnoses to schedule appointments.
5.Understanding of ICD9 codes is preferred.
6.Demonstrated ability to listen to patient information and translate information into written documentation.
~CB
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.
Facility: University of Maryland Medical Center
Employment Type: Full Time
Location: Baltimore, MD Shift/Schedule: DAY
Department: UMH: Radiation Oncology
Posted FTE: 1
Job Posting Category: Clerical
Hours of Work: 7-7
Job ID #: 41777
Benefits Eligible: Yes
Minimum Education: High School Diploma or GED
License/Cert Required: Not Indicated
Minimum Experience: 2 years of experience
Specialty Type: Not Applicable
What You Will Do:
Under supervision of the Practice Manager, acts as a lead to the front desk staff and their work functions. Assist the practice manager in developing and administering departmental policies and procedures to ensure an efficient collection and authorization acquisition process. Maintains consistent and accurate communication with the Medical System staff, referring physicians and patients.
Principal Responsibilities and Tasks
The following statements are intended to describe the general nature and level of work being performed by people to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.
1.Coordinates and supervises the daily functions of the front desk staff. Oversees/ performs patient registration activities, assuring accurate, complete and timely processing of appropriate documents.
A.Oversees/verifies patient demographic and financial information, confirms insurance coverage referral and or authorization information, accurately registers patients in the STAR and IDX systems.
B.Understands UMMS and specific clinical services coverage policies and communicates to staff and patients.
C.Oversees that the front desk staff maintains a less than 10% error rate on their registration error report by reviewing schedules in advance and notifying patients, as necessary, for required referral and authorizations.
2.Oversees the scheduling of patient appointments, procedures and diagnosis tests. Provides printed schedules in advance to physicians, nurses, radiology etc. on a daily basis.
A.Complies with IDX scheduling standards. Monitors overbooking and/or conflicting scheduling situations and informs the clinic manager..
B.Assists staff to maintain that patients insurance and referrals are checked one day prior to the appointment.
C.Reviews schedule for co-pay obligations and outstanding balances and flags patients accounts. Alerts staff and patients to prior balances and co-payments.
3.Collects and checks encounter forms for completeness and accuracy. With knowledge of insurance rules and regulations, collects appropriate co-pays and co insurance payments. Compiles encounter form batches, both hospital and practice, links referrals and enter STAR charges in a timely manner.
A.Collects and tracks encounter forms. Responsible for collecting 100% of encounters forms at the end of the business day. Checks encounter forms for accurate patient information, ICD 9 codes, time spent with patient for facility charges and physician signature.
B.Assures that staff collect appropriate co-pay and facility fees, completes receipt and payment logs. Secures payments in cash box/safe as appropriate. Provides the patient with proper documentation and receipts.
C.Responsible for batching STAR and IDX encounter forms on a daily basis, checking forms for completeness. Check completed forms against daily schedule to maintain that no forms are missing.
D.Maintains that staff enter all STAR charges by the end of the business day. Responsible for accuracy and checks Daily Revenue Report the next day for any missed or incorrect charges.
4.Answers telephone and patient inquires. Responds to inquires, takes legible, accurate and complete messages. Locates provider or nurse when appropriate.
5.Provides guidance and instruction to fellow employees where skills are in need of improvement, as needed. Provides information to Practice Manager regarding work progress, actions and issues in a timely and effective manner.
6.Assists Practice Manager in conducting orientation and training of new employees.. Actively and continuously improves work processes. Uses continuous improvement tools and methods to improve individual, team and cross departmental performance. Bases improvement on customer requirements, data root cause analysis and outcomes.
7.Maintains inventory and orders appropriate supplies for the clinic.
What You Need to Be Successful:
Education and Experience
1.High School Diploma or equivalent (GED) is required.
2.Two years office work in a medical office or healthcare environment is required. Registration, front desk, referral services and billing experience preferred. In addition, two years of supervisory or lead worker experience.
Knowledge, Skills and Abilities
1.Proficient in PC applications and accurate data entry. Use of other medical registration system and/or STAR/IDX preferred..
2. Successful completion of the UMMS computer systems certification test within one attempt and maintain a minimum of 90% accuracy.
3.Maintain a 10% registration error rate as a departmental specific goal for registration accuracy.
4.Knowledge of medical terminology in order to understand diagnoses to schedule appointments.
5.Understanding of ICD9 codes is preferred.
6.Demonstrated ability to listen to patient information and translate information into written documentation.
~CB
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.