AdventHealth ADVENT HEALTH OUTPATIENT IMAGING- (PER DIEM) REFERRAL COORDINATOR - Altamonte (Lakeview) in Maitland, Florida

Description

Welcome to ADVENT HEALTH IMAGING!

We invite you to become a part of our leading team providing Radiological medical care services for Central Florida areas.

We are now recruiting for a PER DIEM Referral Coordinator for our

Altamonte (Lakeview) location.

Our Mission is to extend thehealing ministry of Christ.

Employees are hired to help

Adventist Health System extend the healing ministry of Christ. They are

expected to exhibit a continuous behavior of professionalism, which includes

but is not limited to, treating customers and co-workers with respect and dignity,

aligning behavior with customer service principles, maintaining customer and

patient confidentiality, abiding by employee guidelines for professional

behavior, appearance, and communication, exhibiting teamwork behaviors, being

effective in conflict resolution, helping others to understand issues and

accept changes, demonstrating high standards of work performance and

flexibility, maintaining positive interdepartmental relationships, keeping a

positive attitude, and adhering to the policies and procedures of the

organization.

GENERAL SUMMARY:

Direct reporting to the Insurance Manager, this

position (FLSA Status: Non-Exempt) is accountable for providing quality

customer service & patient financial responsibilities to patients,

referring physicians, visitors and internal customers by obtaining insurance

pre-certification and benefit verification for imaging procedures. Develops and maintains positive relationships

with physician’s offices, patients, and sites while conveying accurate benefit

and payment details in regard to any and all future visits. Actively participates in outstanding customer

service and accepts responsibility in maintaining relationships that are

equally respectful to all.

PRINCIPLE DUTIES AND JOB RESPONSIBILITIES :

  • Possesses a

strong knowledge, understanding, and competency in the areas of insurance

carrier plans and coverage benefits, radiology procedures, CPT codes, HCPCS,

and ICD-10 codes.

  • Ensures

pre-certification and verification of benefits has been obtained and clearly

documented on all required exams 10 business days prior to patient’s procedure,

or within 24 hours of scheduling, or same day add-ons determined at the time of

scheduling.

  • Works a minimum

of 3 days out on verification of benefits for site they are working

  • Determines if

patient’s insurance is a part of the provider network

  • Possesses a

strong knowledge of required waivers or documents necessity (Ex: Medicare

ABN’s, auto forms, clinical documents, EMRs, and orders).

  • Makes outgoing

calls or utilizes on-line recourses to obtain for pre-certification or any authorization

required by the insurance carriers.

  • Contacts patient

or physician’s office using HIPAA guidelines prior to scheduled exam when

additional information is required.

  • Serves as an

insurance expert in assisting customer service representatives, front desk

associates, account representatives, center directors, and technologists in

answering insurance related questions.

  • Places daily

calls to all patients who will owe $75.00 or more at time of service to inform

them of their responsibility at least as soon as approval is received and/or

benefits are available a minimum of 1-2 business days prior to their date of

service.

  • Notifies

patients, referring physicians, VIP Specialists, Site Manager and support staff

with direct changes impacting the next day’s schedule.

  • Notifies

patients, referring physicians, VIP specialists, site manager, and support

staff with regard to appointment cancellations as a result of insurance denial,

delay in obtaining insurance authorization while effectively explaining the reason

for the denial or delay.

  • Provides daily

communications to site manager on the status of all pending, rescheduled, or

denied authorizations for next business day.

  • Works as a

liaison for site managers helping potentially fill next day’s schedule for CT/MR

exams.

  • Performs other

duties as assigned, to ensure the smooth operation of the department.

Qualifications

KNOWLEDGE AND SKILLS REQUIRED:

  • Ability to work

in a team setting, as well as, independently

  • Must have a

working knowledge of Microsoft Office products

  • Strong Customer

Service Background

  • Ability to read

and understand insurance benefits and determine patient’s responsibility

  • Ability to type

50 wpm

  • Ability to work

in a team setting, as well as, independently

  • Able to make

decisions and solve problems in assigned work area

  • Ability to work

well under pressure with deadlines - sense of urgency

  • Ability to

prioritize and manage simultaneous assignments with frequent interruptions

while paying close attention to the details

KNOWLEDGEAND SKILLS PREFERRED:

  • Medical terminology and office background

preferred

  • Understanding of

Coinsurance, Co-pay’s and deductibles and the ability to explain, preferred

EDUCATION AND EXPERIENCE REQUIRED:

  • High school

diploma or equivalent

EDUCATIONAND EXPERIENCE PREFERRED:

  • Bachelor’s

degree

LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:

  • N/A

LICENSURE,CERTIFICATION OR REGISTRATION PREFERRED:

  • N/A

Job: Administrative / Business Support

Primary Location: US-FL-Maitland

Organization AdventHealth Centra Care

Schedule Per Diem

Shift Day

Job Level Entry Level

Education Level High School Diploma / GED

Travel No

Job Posting Mar 6, 2019, 3:47:09 PM

Req ID: 277794

We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.