Overview
Honorhealth is a non-profit, local community healthcare system serving an area of 1.6 million people in the greater phoenix areaThe network encompasses six acute-care hospitals, an extensive medical group, outpatient surgery centers, a cancer care network, clinical research, medical education, a foundation and community services with approximately 12,300 employees, 3,700 affiliated physicians and 3,100 volunteers.
Honorhealth was formed by a merger between scottsdale healthcare and john cLincoln health networkHonorhealth’s mission is to improve the health and well-being of those we serve.
As a community healthcare system, we have a unique responsibility to keep our facilities as safe as possible to protect our patients and team members while we work to achieve our mission, “to improve the health and well-being of those we serve.” therefore, honorhealth is requiring that all new hires have received the first dose of a covid-19 vaccine before they start, and be scheduled for their second doseReasonable accommodations will be considered.
Responsibilities
Job summary
Transcribes all incoming physician orders for outpatient hospital ancillary appointments, including but not limited to diagnostic imaging procedures, transfusions, infusions, non-invasive cardiology procedures, and pft pulmonary orders received from referring community physician officesSchedules appointment for all physician faxed or e-orders for procedures listed aboveCreates hospital account, determines correct insurance plan coverage and encodes on patient`s accountDetermines payer medical necessity and estimated patient responsibilityPre-registers the account by phone with patient prior to date of serviceAnswers incoming ancillary phone queue line and handles all calls appropriatelyMonitors call center metrics and provides exceptional customer service at all times.
Performs a variety of scheduling tasks needed to schedule outpatient ancillary appointmentsAs appropriate, accurately select the correct medical record number or create a new one prior to schedulingAnswers incoming calls from scheduling call center queue line promptly and within the standard limit set by departmentTranscribes all incoming faxed ordersFollows scheduling procedure guidelines including completing procedure questionnaire with patient appropriately and providing accurate procedure prep instructions to patient as provided in the emr/epic scheduling moduleCommunicates with referring physician offices to obtain corrected valid orders or obtain missing information or to inform them of inability to schedule the order due to inability to make patient contactDocuments emr/epic thoroughly and accurately following department guidelines and standards.
Performs a variety of pre-registration functionsAdheres to all third party payer requirements for both government and commercial payersCreates hospital account, and accurately encodes insurance coverage on account, determines/verifies insurance eligibility, verifies patients’ insurance benefits, determines payer medical necessity requirements, and determine patient financial responsibility and collects deposit from patientFollows department wq fundamentals and department standardsUpdates account information as needed, and documents accounts appropriately and thoroughly following department guidelines and standards.
Obtains procedure prior authorization from referring physician or insurance, as neededCollects patient estimated financial responsibility and generates patient payment receipt and documents the system appropriately and thoroughly as per department standardsFollows collection procedures and ensures the security of all patient credit card information at all times.
Follows department and network policies concerning discounts, package rates, payment plans, and financial assistance optionsProvides feedback to department leadership on changes/updates implemented by insuranceFollows hipaa policies at all timesFollows hospital care standards and provides exceptional customer service at all timesPerforms other duties as assigned.
Performs other duties as assigned.
Qualifications
Education
High school diploma or ged required
Experience
1 year in healthcare field: including medical office insurance/front desk, hospital registration, hospital business office (billing or collections), diagnostic imaging schedulingRequired
