Job Information
Arizona Department of Economic Security CENTRAL SCHEDULING CLERK in PARKER, Arizona
This job was posted by https://www.azjobconnection.gov : For more information, please see: https://www.azjobconnection.gov/jobs/6452185
POSITION SUMMARY\ This role involves coordinating and managing or various outpatient services such as; radiology, surgery, infusion therapy, wound care and physical therapy. Responsibilities will include but not limited to; efficient and accurate scheduling of appointments, insurance verification, submission of authorizations for various services including radiology, surgery, infusion therapy, wound care, physical therapy and for all providers who service La Paz Regional Hospital and Clinics. Utilizing a combination of web portals, faxing and phone submissions, you will ensure timely approvals while meticulously tracking the status of authorizations. Effective communication with clinics and central scheduling team is essential to relay any scheduling and authorizations updates promptly. Additionally, this role entails facilitations referrals to specialist. This role demands a combination of technical proficiency, strong organization skills, and effective communicating to enhance patient care and departmental efficiency.
CORE FUNCTIONS\ 1.Efficiently schedule a wide range of appointments provided by La Paz Regional Hospital and Clinics.
2.Communicate with patients to gather essential information, explain appointment procedures, and answer any questions or concerns regarding their upcoming appointment(s).
Address and resolve scheduling conflicts, appointment changes, and patient concerns in a timely and professional manner.
Verify patients insurance coverage and eligibility, calculate patient liability estimates, explain and collect patient financial responsibility and provide patients with facilities payment options
5.Obtain prior authorizations for a variety of services such as radiology, surgery, infusion therapy, wound care, and physical therapy.\ \ 2. Utilize web portals, faxing and phone submissions to complete authorization requests accurately and promptly.\ \ 3. Ensure adherence to insurance company guidelines and requirements throughout the authorization process.\ \ 4. Manages and tracks the status of all authorization request to ensure timely approvals.\ \ 6. Act as liaison between clinics, insurance companies, and the central scheduling team to facilitate efficient authorization process.\ \ 7. Facilitate the referral process for patients requiring specialist care, ensuring accuracy and timeliness.\ \ 8. Collaborate with healthcare providers to gather necessary documentation and information for authorization and referral submission.
Demonstrate a comprehensive understand of insurance policies, procedures and coverage criteria.
Stay informed about changes in insurance regulations and requirements relevant to prior authorization and referrals.
11.Ensure accurate and confidential handling of medical records and patient information in compliance with HIPAA regulations
12.Ability to handle difficult situations, manage conflicts and find solutions to patient concerns.
- Work in a fast-paced environment with changing priorities and occasionally high-stressed situations.