Registration/Scheduling Representative | Clinic

Job Description

Essential Functions/Responsibilities:

CUSTOMER SERVICE:

• Greets and directs all patients, visitors, sales representatives, etc., who need assistance to the appropriate department and/or staff member using AIDET.
• Answers/transfers telephone calls in a clear, calm and professional manner.
• Screen calls by urgency and routes calls promptly, accurately and professionally to appropriate party.
• Performs a wide variety of tasks primarily related to communication and reception activities while maintaining positive patient relations.
• Is receptive to the needs of patients in such a manner as to promote a favorable public image of Clarke County Hospital.

REGISTRATION/SCHEDULING:

• Receives and interviews patient or responsible individual to gather, verify and enter demographic and insurance information necessary for completion of electronic health record and insurance claim processing at each patient visit in electronic health record.
• Schedules, preregisters, cancels, reschedules tests and procedures for clinics and hospital and coordinates scheduling of tests and procedures to assure they meet medical necessity, patient, department and practitioner needs while maintaining appointment schedule according to department procedure.
• Ensure the patient or guardian understands and signs consent, insurance and other required forms.
• Receives, transcribes, schedules and scans practitioner orders into electronic record daily.
• Enters reason for tests/procedure to meet medical necessity and refers to UR for further review if needed. Refers tests/procedures to UR that need prior authorization.
• Verifies insurance benefits with insurance companies via phone calls, faxes or internet and documents verification in each patient record, as appropriate.
• Educate patient/guarantor regarding insurance benefits; making arrangements for