Job description

Job Summary

The purpose of the APPOINTMENT CENTRAL REPRESENTATIVE HOD position is to accurately and completely gather all necessary information to accurately retrieve orders, schedule an appointment, verify medical necessity and insurance benefits. This position requires that all demographic and insurance information along with other key data elements are accurately data entered in the system for each account. This position requires significant interactions with patients, clinical staff as well as other department staff. This position requires highest degree of confidentiality and requires ability to work with initiative and decision making skills.

Essential Duties and Responsibilities

· Reviews department schedules to ensure all required authorization/pre-certs are obtained prior to service for all scheduled outpatient procedures, as applicable. Reviews all accounts to verify insurance eligibility and verification.

· Accurately schedules/reschedules and cancels appointment for all HOD patients as necessary. Reviews schedules, create a pre-registration record, accurately completing all key data elements within established department protocol.

· Accurately screen orders for Medicare ABN to confirm medical necessity is met. Accurately reconciles physician orders with schedules and communicates to the physician office when appropriate.

· Demonstrates a complete and comprehensive knowledge and use of departmental Scheduling, Pre-registration, Insurance Pre-Certification/Verification policies, procedures, updates, and guidelines.

· Supports and promotes the mission and values of Covenant Health and the Catholic Health Ministry.

· Other duties as consistent with this role

JOB REQUIREMENTS

Education:

• One year college or specialized post high school training or equivalent job experience required
• Two years of college or specialized post high school training, preferred

Experience:

• One to three years customer service experience in a medical environment
• Medical terminology
• One to three years medical insurance experience
• One to three years scheduling experience

Other Skills Required:

• Strong verbal and decision-making skills
• Keyboarding of 45-60 words per minute
• Computer experience/exposure to Windows environment
• Must be able to work independently within assigned guidelines
• Requires ability to work independently with minimal supervision

Covenant Health Mission Statement

We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities.

Core Values

Compassion

We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering.

Integrity

We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources.

Collaboration

We work in partnership, dialogue and shared purpose to create healthy communities.

Excellence

We deliver all services with the highest level of quality, while seeking creative innovation.

We are an equal opportunity, affirmative action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, disability status, gender, sexual orientation, ancestry, protected veteran status, national origin, genetic information or any other legally protected status.

Job Types: Full-time, Part-time

Pay: $17.70 per hour

Benefits:

• Dental insurance
• Disability insurance
• Employee assistance program
• Health insurance
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday
• Weekend availability

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