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PASC OR Registrar - Mon - Fri 9:00am - 5:30pm na Nghs

Nghs · Gainesville, Estados Unidos Da América · Onsite

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Job Category:

Revenue Cycle

Work Shift/Schedule:

8 Hr Morning - Afternoon

Northeast Georgia Health System is rooted in a foundation of improving the health of our communities.

About the Role:

Job Summary

Under the supervision of the Patient Access Service Center (PASC) Supervisor/Manager, this position is held solely accountable for the direct scheduling of all neurointerventional surgical procedures, labor & delivery surgical cases, and NORA (Non-OR cases with anesthesia involvement). This position is held responsible for the total accuracy of the each of these schedules. In addition, is responsible for ensuring the delivery of outstanding customer service while obtaining complete and accurate patient demographic information, identifying patient benefits and eligibility, identifying insurance and/or patient responsibility, collecting identified co-pay/deductible and or providing financial counseling when appropriate, and completing the pre-registration process. 
 

Minimum Job Qualifications

  • Licensure or other certifications:

  • Educational Requirements: High School Diploma or GED.

  • Minimum Experience:

  • Other:

Preferred Job Qualifications

  • Preferred Licensure or other certifications:

  • Preferred Educational Requirements:

  • Preferred Experience: Two (2) years previous hospital registration/business office experience. Medical terminology and anatomy.

  • Other:

Job Specific and Unique Knowledge, Skills and Abilities

  • Ability to work independently, emotionally mature, and able to function effectively under stress

  • Good Communication Skills

  • Excellent problem solving and analytical skills

  • Excellent written and oral communication skills

  • Ability to prioritize, organize and coordinate daily work load

  • Working knowledge of Protected Health Information

  • Ability to manage change

  • Must possess detailed understanding and knowledge of insurance guidelines and protocols, the components of full verification, and payer information/requirements
     

Essential Tasks and Responsibilities

  • Responsible for direct and accurate scheduling of neurointerventional surgical procedures, labor & delivery surgical cases, and NORA (Non-OR cases with anesthesia involvement); to include all information obtained from the case request, physician, and/or surgical staff.  This includes, but is not limited to, correct procedures, diagnosis codes, and patient insurance information.

  • Appropriately selects the correct procedure at the point of scheduling to ensure the correct case card by physician and per procedure is selected in order for the neurointerventional operating room and the L&D operating rooms to be adequately stocked with the correct equipment to perform care on the patient.  

  • Understands the block utilization concept and is able to correctly identify in which rooms a procedure can and cannot be scheduled. In addition, also identifies physician blocks, group blocks, and determines accurate case durations by physician per procedure.

  • Responsible for coordinating anesthesia for all NORA cases across each modality at all hospital campuses (including, but not limited to; invasive cardiology (Cath/EP labs), diagnostic cardiology procedures, MRI, CT, and interventional radiology cases).

  • Collaborates with anesthesia when resources are needed for each modality and are not available; this also includes review of the endoscopy schedule in order to move resources accordingly.

  • Follows all guidelines set forth by the clinical unit as it relates to the schedule; including, but not limited to, specific number of procedures that can be performed on a given day, equipment guidelines, and physician related requests and restrictions.

  • Demonstrates discernment to determine when a critical conflict (per the scheduling system) can be overridden without creating downstream anomalies for the department or placing the patient at risk.

  • Expected to compare a given diagnosis to a scheduled procedure for accuracy, therefore, eliminating the potential for a serious patient safety event to occur. 

  • Understands and utilizes the medical necessity review process for surgical cases appropriately and communicates to offices and patients when needed to reschedule or cancel cases.

  • Responsible for capturing and documenting all pertinent patient demographic, subscriber, and insurance information i.e.; patient policy and ID numbers, subscriber, guarantor, payer address, phone number, and contact information into the hospital registration system.

  • Responsible for assessing financial responsibility for scheduled patients; communicates financial liabilities to patients prior to service date when applicable; collects pre-service payments; educates patients on billing process for the facility; refers patients for financial counseling and medical necessity review, if applicable.

  • Reviews work and assures accuracy in all aspects of the position; particularly, procedure scheduled, patient type, location, insurance information, and demographic information to minimize error rate and time delays in other areas.

  • Creates and communicates clearly to patients complicated historical estimates by filtering based on procedure, physician, location, etc.

  • Responsible for working with physician offices and ancillary departments to ensure patient satisfaction is met in all aspects of their duties (including, but not limited to: scheduling, pre-registration and pre-certification).

  • Performs any and all related job duties as assigned; may have additional department specific duties assigned as deemed necessary by management.

  • Expected to answer, manage and satisfy the customer during all incoming calls as appropriate to their specialty, and to meet department assigned goals relating to outbound calls, average speed to answer, max delays, AUX times, abandonment rate, and ACD time.  In addition, expected to meet all customer service standards as set forth by management.

  • As assigned, expected to review accounts for order accuracy; responsible for contacting physician offices with discrepancies or concerns regarding the scheduled appointment.

  • Understands and utilizes all systems appropriately as related to scheduling, pre-registration, insurance verification, estimations, electronic order system, pre-certification, and phone quality controls.

  • Expected to meet all goals set by department management to include, but not limited to: productivity, accuracy, collections and customer satisfaction.
     

Physical Demands

  • Weight Lifted: Up to 20 lbs, Frequently 31-65% of time

  • Weight Carried: Up to 20 lbs, Frequently 31-65% of time

  • Vision: % of time

  • Kneeling/Stooping/Bending: Occasionally 0-30%

  • Standing/Walking: Occasionally 0-30%

  • Pushing/Pulling: Occasionally 0-30%

  • Intensity of Work: Occasionally 0-30%

  • Job Requires: Reading, Writing, Reasoning, Talking, Keyboarding

Working at NGHS means being part of something special: a team invested in you as a person, an employee, and in helping you reach your goals. 


NGHS: Opportunities start here.

Northeast Georgia Health System is an Equal Opportunity Employer and will not tolerate discrimination in employment on the basis of race, color, age, sex, sexual orientation, gender identity or expression, religion, disability, ethnicity, national origin, marital status, protected veteran status, genetic information, or any other legally protected classification or status.

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