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

Date Posted: 4/11/2019

Job Snapshot

  • Job Schedule
    Per Diem
  • Location:
    Maitland, FL
  • Date Posted:
    4/11/2019
  • Job ID:
    277794
  • Job Function
    Administrative / Business Support
  • Travel
    No
  • Shift
    Day
  • Application Zone
    2-Legacy System
  • Organization
    AdventHealth Centra Care

Job 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 the healing 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.



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

KNOWLEDGE AND 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

EDUCATION AND EXPERIENCE PREFERRED:

•         Bachelor’s degree

 

LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:

•         N/A

LICENSURE, CERTIFICATION OR REGISTRATION PREFERRED:

•         N/A



Position Location:  
Job:  Administrative / Business Support
Organization:  AdventHealth Centra Care
Primary Location:  US-FL-Maitland
Schedule:  Per Diem
Shift:  Day
Job Level:  Entry Level
Education Level:  High School Diploma / GED
Travel:  No
Job Posting:  Apr 11, 2019, 3:09:00 PM

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