Under general supervision, performs patient scheduling functions and checks out duties in addition to a significant amount of higher-level work. Higher-level work may include a combination of TES (transaction editing system) duties, medical coding, lead responsibilities, financial coordination, etc.
EDUCATION/EXPERIENCE:
High school diploma or GED equivalent with three years' clerical experience, six months of which must be at the Patient Scheduling Coordinator level or equivalent. Knowledge of third party payor requirements. Basic knowledge of ICD-9 and CPT coding or willingness to complete these courses upon employment. Data entry accuracy of 5000 kph with 3% or less error rate.
LICENSURE, CERTIFICATION, and/or REGISTRATION:
Completes certification program and maintains accuracy standards. Basic Cardiac Life Support required within 30 days of hire.
ESSENTIAL FUNCTIONS:
Schedules clinical appointments for new and returning patients with independent judgment and discretion. Follows Clinical Operations standards to promote a cooperative work and patient care environment.
Coordinates extensive laboratory work and diagnostic testing for patients. Anticipates necessary lab work and testing based on knowledge of patient needs.
Completes scheduling information promptly with 97% accuracy, including patient demographics, insurance information, employer information, emergency contact information and other required data. Asks patient to verify accuracy of registration data.
Enters and verifies insurance information in IDX. Interacts with insurance companies for benefit verification as required. Determines if referrals or prior authorizations are required.
Makes daily judgments over the telephone as to the timeframe in which patients should be seen based on experience and the examination of patient charts.
Calls in prescriptions for physicians, as instructed. Processes transaction editing system (TES) files by obtaining requested information. Performs medical coding as needed to assure proper billing for services rendered.
Performs complex coordination among WFUHS physicians, external physicians, patients, nurses, and outside testing laboratories to assure that all necessary tests are performed and paperwork is complete. Coordinates departmental consult service as directed.
Performs IDX schedule maintenance based on provider needs.
Assures that each patient chart is fully prepared prior to the visit, all tests are ordered, and special patient needs have been anticipated. Coordinates testing for inpatients, using judgment and discretion as to the seriousness of condition to properly plan for transportation, timeframe of tests, and types of test performed.
Answers inquiries concerning clinic policies and procedures. Initiates and facilitates the resolution of patient issues and complaints utilizing other Medical Center professionals as needed. Practices excellent customer service skills. Accommodates patient's special needs (e.g., interpreter).
Coordinates surgeries using discretion as to timeframes, instruments needed, room availability, and physician schedule. Obtains pre-certifications and coordinates activities with NCBH as required.
Performs financial duties such as authorizing or obtaining authorization for insurance, reviewing encounter forms, assisting with medical coding, providing assistance to patients regarding billing questions, etc.
Assists in the training of less experienced personnel as instructed. Completes required educational programs to remain current on job responsibilities and fulfill compliance requirements. Successfully completes the WFUP Certification Program. Attends and participates in the development of the WFUP Clinical Operations Departmental meetings regularly.
Performs other related duties incidental to the work described herein.
SKILLS/QUALIFICATIONS:
Ability to function independently in an intensive clinical setting Ability to perform multiple tasks simultaneously Experience using IDX, Medipac and LastWord Experience with managed care or Health Insurance Company
WORK ENVIRONMENT:
Clean, well-lit office environment May be subject to interruptions
About Us
Atrium Health Wake Forest Baptist is a pre-eminent academic health system based in Winston-Salem, North Carolina. Atrium Health Wake Forest Baptist is part of Advocate Health, which is headquartered in Charlotte, North Carolina, and is the fifth-largest nonprofit health system in the United States, created from the combination of Atrium Health and Advocate Aurora Health. Atrium Health Wake Forest Baptist’s two main components are an integrated clinical system – anchored by Atrium Health Wake Forest Baptist Medical Center, an 885-bed tertiary-care hospital in Winston-Salem – that includes Brenner Children’s Hospital, five community hospitals, more than 300 primary and specialty care locations and more than 2,700 physicians; and Wake Forest School of Medicine, the academic core of Atrium Health Enterprise and a recognized leader in experiential medical education and groundbreaking research that includes Wake Forest Innovations, a commercialization enterprise focused on advancing health care through new medical technologies and biomedical discovery.
Wake Forest Baptist Health, Wake Forest University School of Medicine and Atrium Health have joined forces in a strategic combination that will enhance care, transform medical education and create economic opportunity for countless lives in North Carolina and beyond. As a part of that combination, the two health systems will be integrating technology and platforms, including our career sites.
This means that although you are applying on the Wake Forest Baptist Health Career Site, you receive communications from the Atrium Health Recruitment Team. Please know that this is an expected process, and thanks in advance for your flexibility.
About The Team
Mission, Vision and Culture Commitments
Mission
To improve health, elevate hope and advance healing – for all.
Vision
To be the first and best choice for care.
Culture Commitments
We create a space where all Belong
We Work as One to make great things happen
We earn Trust in all we do
We Innovate to better the now and create the future
We drive for Excellence – always
Seniority level
Entry level
Employment type
Full-time
Job function
Other
Industries
Research Services and Hospitals and Health Care
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