Some roles may be based outside of our Colorado office. Roles based outside of our primary office can sit in any of the following states: AL, AZ, CO, FL, GA, MI, NJ, NM, SC, and TX. Please only apply if you are able to live and work full-time in one of the states listed above. State locations and specifics are subject to change as our hiring requirements shift. Applicants must be able to work during normal business hours based in Mountain Standard Time (MST).
The Scheduling/Billing Specialist is responsible for complete patient scheduling and pre-registration for radiology procedures/services, verifies insurance, and ensures insurance cards, government issued photo ID’s, physician orders and any other appropriate documentation is scanned to the encounter. Informs patient of estimated patient responsibility at the time of scheduling and refers urgent/emergent self-pay patients for financial counseling. Responsible for billing assigned insurance accurately and timely within Cerner and Revenue Manager. Reviews and corrects claims in error and/or rejected status. Required to maintain productivity standards for scheduling and other departmental goals: cash collections, AR Days, etc.
- Bills primary, secondary, tertiary, etc. insurance claims on a daily basis using the Patient Accounting System.
- Ability to work and research all assigned claims in an error or rejected status.
- Accountable for productivity to meet departmental goals for cash collections and AR days.
- Can perform all the standard job requirements.
- Complete patient scheduling/pre- registrations and data entry.
- Ability to use the scheduling software included but not limited to the use of eSig.
- Verify eligibilities for all patients utilizing various verification systems and/or payer application following hospital policy guidelines.
- Post benefits responses to account notes.
- Post Insurance information to Insurance Verification screen.
- Ensure all insurance cards, government issued photo ID, physician orders; legal documents, etc. are properly filled out and scanned/input into patient account correctly.
- Inquire and provide referrals for self-pay patients in need of financial assistance.
- Inform Patient of financial responsibility (co-pays, OOPs, ect.) at the time of scheduling.
- Obtain signed statements/documents from internal and external sources.
- Complete items left in message center, email, and/or inbox.
- Assist in medical necessity checks.
- Complete patient scheduling/pre- registrations and data entry.
- Answer incoming calls and promptly return calls.
- Monitor and check voicemail, incoming, and outgoing faxes.
- Adhere to completion of Cerner worklists.
- Adding Providers into the Cerner system as needed.
- Following downtime procedures.
- Other duties as assigned
For more detailed information, please see full job description as linked on our website www.pagosaspringsmedicalcenter.org. Pagosa Springs Medical Center is an EEO employer.
