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SCOPE OF POSITION:
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Responsible for scheduling all appointments via phone or fax from physician's offices, ensuring proper documentation received to include physician signature and medical necessity. Perform other related duties as required. Report to Scheduling and Insurance Verification/Authorization Manager.
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RESPONSIBILITIES:
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- Books appointments as necessary utilizing protocol for booking each procedure including following system prompts and asking appropriate questions while obtaining necessary demographic, insurance and appointment information. Ensure minimum duplicate appointments by checking for existing appointment prior to generating new appointment.
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- Reschedule and cancel appointments as necessary following procedure of notification and commenting in system. Edit for medical necessity via Info X for all Medicare patients.
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- Send confirmation letter to patient and fax to physician, appointment, reschedule or cancellation while checking daily for faxes that have not transmitted.
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- Make efficient use of work time to accomplish assignments and expected outputs as well as the ability to accept or respond to change in the work environment in a way that promotes department goals and objectives, to include notifying Team Leader when able to do additional work.
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- Promote and maintain working relationships within a multi-skilled team environment to facilitate department/hospital vision and goals.
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- Provide coverage as needed to include performing other related duties as required, which may include but not limited to registration and insurance verification/authorization and participate as a preceptor in the training of co-workers. Ability to work well under pressure and prioritize tasks.
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- Perform other related duties as required.
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REQUIREMENTS:
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- Knowledge and ability to use CRT/PC, electronic modality and other business equipment.
- Strong customer service skills; ability to communicate effectively with physicians, patients, staff, visitors/others.
- Requires knowledge and use of reference materials as provided in a multi-faceted environment i.e., manuals, memos, policies, procedures, etc.
- Ability to exercise good judgment, time management skills and follow appropriate procedures when setting priorities and handling stressful situations.
- Clerical and mathematical skills.
- Ability to maintain confidential patient financial and medical information.
- Knowledge of hospital billing, third party collection requirements.
- Ability to set priorities and make independent decisions.
- Requires working knowledge of medical terminology.
- Ability to work in a business office environment, which requires the accessing of information from many sources, systems, locations and media.
- Physical requirements may involve some lifting, walking, bending and standing.
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- Must have basic computer skills and ability to access internet and other programs applicable to Waterbury Hospital procedures.
- Perform automated functions that fall within job responsibility.
- High School graduate or equivalent
- At least two (2) years experience in a hospital, physician's office or other type of medical setting with emphasis in registration, scheduling, order entry and insurance verification.
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