CHS Part Time Scheduling and Insurance Verification Specialist in Clearwater, Florida

Description:

The Part-Time Scheduling and Insurance Verification Specialist requires general and specific knowledge of data management, medical practice workflow, and related activity. This job involves answering phones, creating and maintaining patient charts, scheduling patients for medical treatment, verification of insurance, and regular communication with the facilities at which appointments are scheduled, as well as with our providers. Knowledge of health insurance plans, interpretation of health insurance benefits, and prior authorization protocol required.

This part-time position will work for 5-hour shifts between the hours of 8AM - 5PM, Monday through Friday. No nights or weekends!

Essential Duties and Responsibilities:

  • Scheduling: Coordinating schedules for multiple providers to service client facilities, approximately 250 patients per week

  • Liaise with peer schedule coordinators to identify and define scheduling gaps and adjust accordingly

  • Monitor and re-schedule provider’s appointments with various facilities throughout the day

  • Provides outstanding customer service to our providers, facilities, their residents and family members

  • Ensure fluid communication between the facilities and providers, updates provider, medical assistants and client facilities as appropriate.

  • Provides quality, efficient, effective schedules and reliability in an accurate and consistent manner

  • Eligibility: Effectively and accurately verify active health insurance information and interpretation of benefits prior to service being rendered.

  • Account Maintenance: Effectively and accurately create and maintain patient account information using face sheet and/or other data provided by servicing facilities.

  • Document Management: Effectively and accurately scan and index health records including but not limited to: face sheets, progress notes, insurance verification forms, insurance cards.

  • Prior Authorization: Effectively and accurately determine if prior authorization is required by health insurance plans, request authorization contacting issuing provider and health plan, ability to thoroughly follow up through finalization process and maintain active authorizations in patient chart.

  • Willingness to learn and apply health service concepts as they relate to interactions with persons served.

  • Ability to communicate in a clear and effective manner, both orally and in writing.

  • Ability or willingness to learn, willingness to acquire function knowledge of software as needed.

  • Skill in clerical work: Typing, data compilation, filing and including overall attention to detail and follow through.

  • Ability to maintain confidentiality.

  • Provide telephone and department support, as needed.

  • Performs other related clerical duties, as assigned.

Other Responsibilities:

  • Adheres to the policies and procedures of CHS MSO

  • Maintains strict confidentiality of client, company and personnel information

  • Demonstrates a strong commitment to the mission and values of the organization

  • Adheres to company attendance standards

  • Performs other duties as assigned

Supervisory Responsibilities: None

Qualifications:

  • Medical experience (long term care) preferred

  • Previous scheduling experience in a medical setting preferred but not required

  • Understanding and effective use of basic principles of administration in a healthcare environment.

  • Associates degree or equivalent job related experience.

  • Experience in using electronic health record software, eligibility and electronic billing.

  • Strong computer skills

  • Exceptional communication skills- both written and verbal.

  • Ability to read, understand, and adhere to CMS guidelines and compliance.

  • Superior organizational skill, attention to detail, ability to multitask and work without micro-management.

Certificates, Licenses, Registrations: None

Computer Skills:

  • Proficiency using software programs such as MS Word, PowerPoint, Excel and Outlook

Environmental Factors/Physical Demands:

Work is performed in an office environment. While performing the duties of this job, the employee is regularly required to have the ability to maintain active customer and employee communication; access, input and retrieve information from the computer system; enter alpha-numeric data into a computerized system often while listening on the telephone. May be subject to repetitive motion such as typing, data entry and vision to monitor. May be subject to bending, reaching, kneeling, stooping and lifting up to thirty (30) pounds.

ID: 2018-1647

External Company Name: Community Health Solutions of America, Inc.

External Company URL: chsamerica.com

Street: 13600 ICOT Boulevard