Scheduling & PreAuthorization Coordinator - Radiology Support
What You Will Do: General Summary Under general supervision, performs scheduling, pre-authorization and administrative activities for patients. Ensures the accurate registration of patients, interviews patients to obtain necessary demographic and insurance information to determine patients financial status. Principal Responsibilities and Tasks The following statements are intended to describe the general nature and level of work being performed by people to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified. Schedules patients for admissions, evaluations, re-evaluations and treatment in accordance with physicians schedules, managed care contracts and UMMS policies and procedures. Accepts referrals from social workers, discharge planners, physicians and physicians' offices. Schedules outpatient tests and procedures required. Obtains and inputs pre-authorization insurance and demographic information into the appropriate medical/scheduling system. Verifies patient benefits and eligibility prior to completing referral. Reminds patients of upcoming appointments, changes to schedules, co-payments required, and pertinent insurance information. Provides patients, family members and referral sources with information pertaining hospital policies and procedures, programs available and locations. Coordinates patient transfers from other local hospitals to UMMC; responsible for locating hospital beds. Maintains inventory and orders supplies and performs other office related duties as required. Reviews all visits prior to surgery dates to determine need for referral or pre-authorization and collects all fees/co-payments prior to the day of surgery. May maintain the operating room book for the department and/or division. Obtains all required labs/test results prior to day of surgery and forwards results to the PREP Center prior to surgery.