What are the responsibilities and job description for the Scheduler / Coder / Financial Counselor (562) position at Hancock Health?
Job Summary
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES
- Provides patient scheduling and check in.
- Counsels patients in financial aspects of their outpatient treatment.
- Ensures patients have a clear understanding of their financial responsibilities and makes appropriate referrals if financial assistance is required.
- Verifies third party coverage.
- Gathers information, codes charges, posts information into the billing system and completes billing process.
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES
- Registers patients, establishes account numbers and schedules treatments and procedures with consideration for time available, physician preference and time needed for treatment according to Center guidelines.
- If patient requests to be re-scheduled, secure relevant information and consult with Cancer Center Supervisor or their designate.
- Obtains necessary information to verify third party coverage and benefits prior to admission.
- Contacts patient to verify information and benefits.
- Interviews patient to determine ability to pay if insurance coverage is less than 100 or patient is uninsured. Works with patient and Patient Financial Services to set up individual payment plan if necessary.
- Accurately identifies and assigns all appropriate CPT and ICD-9 procedure and diagnosis codes.
- Adheres to all universal, hospital and departmental coding guidelines.
- Correctly enters charges into billing system.
- Answers incoming calls, pages personnel as needed, checks patient records for required forms, inputs and retrieves information from computer systems.
- provides customer information to other providers or hospital departments.
- Identifies inadequate or inaccurate physician documentation and forwards for correction.
- Works with Clinic Supervisor to continually improve processes to achieve Department Metrics for coding and reimbursement.
- Cross trains with Hospital Coders as needed.
- Accurately Codes all diagnoses and procedures with 97% accuracy as measured by Coding Audits.
- Meets productivity levels established by Department.
- Interacts collaboratively with internal and external customers.
- Takes initiative to maintain expertise in coding, abstracting, hospital Patient Financial Services policies and procedures as well as relevant clinical issues through literature reviews and attendance at educational offerings or intradepartmental meetings.
- Displays extraordinary customer service skills.
- Ability to maintain composure under stressful situations.
- Possesses a sense of responsibility, initiative, honesty and confidentiality.