Scheduling & Authorization Coordinator

Scheduling And Authorization CoordinatorThis position requires the individual to live within a 12-hour commute to Charleston, SC. The full time schedule for this role will be 8:00 AM-5:00 PM EST, Monday-Friday.Role SummaryThe Scheduling and Authorization Coordinator delivers exceptional customer service when communicating with patients over the phone to provide the necessary information for applicable scheduling and imaging. They request information related to the coordination and scheduling of diagnostic imaging and other procedures and treatments for hospitals contracted with ElevatePFS. The Scheduling and Authorization Coordinator interacts directly with the patients, referring physicians, Hospital Services.Role ResponsibilitiesInsurance Authorization/VerificationThoroughly completes the insurance verification process to ensure the accuracy of insurance information.Obtains insurance authorizations, referral, and treatment consults as needed for all scheduled patients prior to receiving services.Obtains benefit coverage from insurance companies and accurately enters information into the appropriate computer system.Obtains diagnosis information and/or CPT code from the physician/office or the outpatient department, as necessary for completing the insurance authorization process.Maintains proficiency in the various systems utilized during insurance verification and authorization process including various on-line payor eligibility programs.Monitors appropriate work lists to ensure timely insurance verification processing.Maintains documentation necessary for compliance with state, federal, and other regulatory agency requirements.SchedulingSchedules all types of complex exams with attention to detail.Ability to manage high outbound and inbound calls to schedule patients for imaging services to ensure the best possible customer service by properly educating the patient on exam preparation and answering questions.Screens and verifies all HIPPA information to ensure accuracy with scheduling and speaking with patients, patients approved representatives and or physicians.Schedules and documents notes in hospital and ElevatePFS operating systems.ClericalMonitors and manages the e-mail inbox or fax machine for assigned practices throughout the day.Works any requests received via e-mailed or fax.Checks and responds to voicemails.Creates, maintains and monitors log of patients and procedures scheduled for assigned physician practices.Monitors appropriate work lists to ensure timely insurance verification processing.Utilizes multiple commuter application, scheduling software, network, drives to schedule multiple exams within multiple modalities and entities across the hospitals system.Additional ResponsibilitiesEffectively communicates operational activities and issues with Supervisor and Manager.Interfaces courteously and effectively with internal and external customers. Must consistently present a positive departmental and organizational image, as well as commitment to departmental goals, objectives, standards, policies and procedures.Demonstrates proficiency within assigned area of responsibility and a general understanding of the entire Patient Access process.Adheres to the hospitals and until level policies and procedures and safeguards set forth by each facility.Identifies and recommends process improvements for RMA services.Other duties as assigned.Qualifications and RequirementsHigh school diploma or GEDAssociate degree or 2+ years in patient scheduling, registration, or healthcare billing is preferredOver one (1) year working in a customer service or client relations type roleOffice or hospital environment experience is preferredHigh volume call center experience is preferredStrong Literacy (grammar, spelling, math)Strong Microsoft Products experience, including word, excel, outlook, windowsFamiliarity with HCA/Parallon IT systems is preferredStrong sales and customer service skillsExcellent interviewing and telephone communication skillsOutstanding interpersonal and people?oriented skillsExcellent written and verbal communication abilitiesAbility to communicate assertively and professionally while maintaining confidence and credibility.Strong analytical, problem?solving, and decision?making skillsHigh level of organization, attention to detail, and time managementAbility to multitask and prioritize effectively in a fast?paced environmentProven ability to work independently with minimal supervisionStrong stress management and adaptability skillsGoal?driven with a strong action and results orientationDemonstrates initiative, persistence, and a strong work ethicTeam?oriented with the ability to collaborate effectivelyFlexible and adaptable to changing prioritiesHigh standards of honesty, integrity, and professionalismProfit? and performance?oriented mindsetRemote and hybrid positions require internet connectivity that meet the Company's upload and download requirements.BenefitsElevatePFS believes in making a positive impact not only within our industry but also with our employees the organization's greatest asset! We take pride in offering comprehensive benefits in a vast array of plans that contribute to the present and future well-being of our employees and their families.Medical, Dental & Vision Insurance401K (100% match for the first 3% & 50% match for the next 2%)15 days of PTO7 paid Holidays2 Floating holidays1 Elevate Day (floating holiday)Pet InsuranceEmployee referral bonus programTeamwork: We believe in teamwork and having fun togetherCareer Growth: Gain great experience to promote to higher roles