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Scheduling and Prior Authorization Representative- Remote

McKenzie Health -
Watford City, ND

Quick Apply

Job Details

Full-time

Benefits

403(b) matching
Employee assistance program
403(b)
Paid orientation

Qualifications

Computer operation
Patient scheduling systems
Word processing
Computer literacy
Writing skills
English
High school diploma or GED
EMR/EHR
Clinical data entry
Medical terminology
Customer data entry

Full Job Description

POSITION: Scheduling and Prior Authorization Representative- Remote

CLASSIFICTION: Full Time

BENEFITS AND PERKS:

Competitive Compensation Package
Comprehensive Benefit Package
100% Retirement Match up to 6% (403b)
Flexible Spending with Employer Deposit
Service Awards and Recognition Programs
Employer Provided Training Programs
Community Orientation: Paid by McKenzie Health
Continuing education paid or reimbursed
Certain Branded clothing provided
EAP available for all employees
McKenzie Health Supports Work-Life Balance

Scheduling and Prior Authorization Representative

POSITION DESCRIPTION:

The Scheduling and Prior Authorization Representative supports the integrated scheduling department by scheduling surgeries, procedures, exams, infusions, therapies and evaluations for inpatient, outpatient, and clinic departments, modalities and facilities. Performs pre-registration, registration, and insurance verification functions and obtains prior treatment authorizations as needed. Provides excellent patient focused customer service. Communicates effectively to service delivery areas to maximize patient flow and customer service. Communicates insurance updates and billing information as identified to department leadership. Maintains quality assurance standards and seeks education opportunities to support role.

Supervisory Responsibilities:

None

Duties/Responsibilities:

Scheduling
Pre-registration
Registration
Insurance verification
Pre-encounter collections
Prior authorization
Serves as central point of communication for community referring physicians and offices, system patient services, and caregivers to secure resources necessary for patient care.
Interfaces and/or works directly with nursing units, technologists, physicians, community offices and other medical facilities to coordinate cases and appointments.
Receives incoming phone calls related to all aspects of scheduling and coordination of patients and resources.
Assures all changes to schedules are in accordance with policies and alerts appropriate leadership when out of compliance. Promotes adherence to scheduling practices.
Collects and evaluates patient demographic, insurance, clinical and non-clinical information.
Identifies inaccuracies and missing data that would affect departments’ financial results; monitors cancellation and rescheduling of cases and appointments to manage schedules; identifies potential resource conflicts and works with leadership to resolve.
Ensures cases and appointments have prior authorization; may coordinate with Financial Counseling to inform patient of financial responsibility.
As a condition of employment, completes all assigned training and skills competency.
Other duties as assigned.

Nothing in this job description restricts MH ability to assign, reassign or eliminate duties and responsibilities of this job at any time. MH does not restrict the tasks that may be assigned. Critical features of this job have been described; those features may be changed at any time due to reasonable accommodation or other reasons deemed appropriate by MH.

Physical Requirements:

Physically demanding, high-stress environment
Sitting for extensive periods of time
Ability to lift, move, push or pull a minimum of 15 pounds.

Required Skills/Abilities:

Knowledge of hospital and physician access management processes.
Clear, effective communication skills
Must be a supportive team member, contribute to and be an example of teamwork.
Ability to deal tactfully with providers, personnel, residents, family members, visitors, government agencies and the public.
Excellent customer service skills.
Able to communicate effectively in English, both verbally and in writing.
Basic computer skills, including ability to navigate electronic medical record systems.
Knowledge of medical terminology
Detail oriented
May work beyond normal working hours and on weekends holidays when necessary.
Must be able to pass a background check and drug screening.

Education/Experience:

High school diploma or equivalent required.
College degree preferred.
One to three (1-3) years’ experience in healthcare scheduling, authorization, customer service or financial counseling.
Knowledge of medical terminology
Basic computer knowledge, data entry and/or word processing.

Licenses/Certifications:

None

NON-DESCRIMINATION STATEMENT

It is the policy of McKenzie Health not to discriminate against any applicant for employment, or any employee because of age, color, sex, disability, national origin, race, religion, or veteran status.

Quick Apply

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