Registration & Scheduling Representative II - Cardiology Clinic Authorizations

Overview:

This position is responsible for scheduling patient treatments and/or diagnostic procedures for assigned area, utilizing a computerized scheduling system. Activities also include pre-registration, receiving physician orders, insurance verification, gathering pre-authorizations and pre-certifications. Maintains records and produces statistical reports as required. May distribute educational materials to patients and families if needed in assigned department. Performs financial counseling when appropriate. Explains and obtains signatures on hospital legal forms i.e. Conditions of Admission, Financial Agreement, Advance Directive, Hospital Grievance policy.

As a Reg/Scheduling Rep II, this individual provides advanced expertise and is able to support and work in different areas of the department.

About Foundation Health Partners

Beginning January 1, 2017, Tanana Valley Clinic, Fairbanks Memorial Hospital and Denali Center became part of Foundation Health Partners, a wholly-owned subsidiary of The Greater Fairbanks Community Hospital Foundation. Foundation Health Partners will operate all three facilities through a 15-member Board of Directors. At Foundation Health Partners, our patients and residents are at the heart of everything we do. Community owned and operated – we are dedicated to providing compassionate health care for every chapter in your life story.

1. Regularly floats to two or more areas of the department. Acts as a knowledge resource for internal customers and peers. Maintains the ability to support multiple areas throughout the department, including pre-registration/prior authorizations and diagnostic scheduling.

2. Receives physician orders and seeks clarification, if necessary. Coordinates case times for treatments or diagnostic procedures in a computerized scheduling system. Verifies and reviews physician privilege status prior to scheduling. Interfaces with medical staff office to maintain log of current privilege status and maintains confidentially of all information. Schedules and maintains physician or diagnostic block time and block time releases. May acquire and maintain physician preference information and staff roster. Answers all telephone inquiries related to scheduling.

3. Coordinates pre-registration/registration processes, verifies insurance coverage and obtains pre- authorizations and pre-certifications and notifications. Accurately and completely documents all information into the patient records system to ensure maximum reimbursement. Obtains all necessary signatures and documentation requires by the patient's insurance plan. May conduct patient visits for bedside registration to expedite the completion of the patient registration.

4. May calculate patient liability according to verification of insurance benefits, collect deposits and copayments. Distributes educational materials to patients and families, when necessary. Responds to diverse questions or refers to appropriate clinical staff.

5. Provides financial counseling to patients and their families. Explains FHP financial policies and provides information as to available resources and avenues for alternative payment arrangements. Assists patients and their families in completing financial assistance paperwork when appropriate.

6. Communicates with physicians and other employees to resolve outstanding issues and/or patient concerns. Works to meet the patients' needs in financial services.

7. Marginal functions may include transporting patients or conducting other work of the patient financial services team. Provides administrative support to the assigned unit when required.

8. Meets or exceeds productivity standards. Completes daily assignments and maintains accurate production logs and records. Identifies opportunities to improve work processes and practices good work group dynamics. 

Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards. Provides all customers of Foundation Health with an excellent service experience by consistently demonstrating our core and leader behaviors each and every day.

High school diploma/GED or equivalent working knowledge.

Requires advanced skills and abilities typically acquired over two (2) or more years of relevant work experience, as well as the ability to function independently within two or more areas of the department. Prior experience with hospital registration, prior authorization, and/or scheduling required. Requires demonstrated knowledge of medical terminology and a broad understanding of all common insurance and payor types and authorization requirements.

Requires the ability to manage multiple tasks simultaneously with minimal supervision and to work independently. Requires strong interpersonal, oral, and written communication skills to effectively interact with a wide range of audiences.

Must be proficient with commonly used office software and computers and possess the ability to use computerized scheduling systems. Must be able to maintain accurate statistical records, gather data, and produce reports.

PREFERRED QUALIFICATIONS

Work experience with the FHP’s systems and processes is preferred.

Additional related education and/or experience preferred.

Foundation Health Partners is an EEO/AAP employer; qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status.