Schegistrar
28971
Position Summary:
Responsible for timely scheduling, pre-authorization, pre-registration, registration and point of service collections for scheduled appointments and procedures, and for registration and point of service collections for non-scheduled patients, receiving care at all Kootenai Health locations.
Responsibilities:
- Performs accurate insurance verification, pre-authorization, scheduling and patient estimates in advance of patient care
- Provides scheduling and registration services for inpatient, outpatient, and Emergency Department
- Schedules procedures and visits in compliance with business line and clinic-specific workflows, in coordination with each department’s specified patient care and provider needs
- Determines financial responsibility through patient estimate calculations, and communicates to patients prior to service date, including network benefits, out-of-pocket costs, as well as Good Faith Estimate for uninsured patients in compliance with the No Surprises Act
- Obtains and validates required referral information, including physician orders, clinical records, demographic, and benefit and eligibility information
- Meets payor pre-authorization requirements to secure full insurance or government payer reimbursement
- Documents all required scheduling, financial clearance, and registration information, including patient estimate, in appropriate Epic modules, to ensure a complete and legal record is recorded
- For uninsured patients, identifies and verifies active payer sources for patients, or refers to financial counseling for third-party linkage or financial assistance
- Provides courteous and efficient service to patients, accurate documentation/verification of patient pre-registration information, and professional and timely communications with medical staff and administrators
- Assists in denials reduction through review and research of registration, authorization or medical necessity claims denials as needed; reports findings to department manager
- As needed, educates patients on insurance policy limitations, self-pay obligation, payment plan or financing options; Refers uninsured patients to Financial Counseling for financial assistance or Medicaid linkage
- Communicates with patients, physicians, payers, families, financial counselors, transitional care or transfer center staff, or other Kootenai Health partners
- Performs other related duties as assigned
- Familiar with standard concepts, practices, and procedures within the field
- Regular and predictable attendance is an essential job function
- Competent to meet age specific needs of the unit assigned
Requirements and Minimum Qualifications:
- High School Diploma or equivalent preferred
- Bachelors’ degree in Business Management or closely related field preferred
- Minimum of 6 months prior customer service experience required
- 2 years’ experience working in a hospital, medical office, or health insurance setting, with third party government program or commercial insurance familiarity, specifically registration and insurance verification preferred
- Previous Epic or other hospital scheduling/registration and clinical software experience preferred
- Knowledge of CPT, ICD-10 and HCPCs codes preferred
- Medical Terminology certificate preferred
- Surgical, diagnostic, and/or office visit scheduling, patient accounts, and/or practice assistant experience, preferred
- Previous Epic software experience in Radiant, Cupid, Cadence, ADT, and/or other Epic modules, preferred
- Strong customer service skills and patients/customer centered focus in positive manner in all situations
- Excellent communication skills (telephone, written, inter-personal and customer-relation)
- MOAB Certification during Kootenai Health Essentials required
Working Conditions:
- Must be able to maintain a sitting position
- Typical equipment used in an office and clinical job
- Must be able to stoop, crouch or bend
About Kootenai Health
Kootenai Health is a highly esteemed health care organization, serving patients throughout northern Idaho and the Inland Northwest. We pride ourselves on our outstanding reputation as both an employer and a health care provider. We have been recognized with many accolades and distinctions including being recognized as a Gallup Great Workplace, No. 1 Best Place to Work in Large Healthcare Organizations, and Magnet™ Status for Nursing Excellence.
As your next employer, we are excited to offer you:
- 100% employer-paid health insurance premiums for full-time employees. Part-time employees pay only a small portion a month for medical, dental, and vision coverage. Benefits start 1st of the month following 30 days of employment
- A tuition assistance program available after 90 days. If you want to further your education, we'll help you pay for it
- Kootenai Health will match your contributions in a defined contribution 457 retirement plan based on years of service ranging from 3-6 percent. Kootenai Health will contribute an amount equal to two percent of your gross earnings
- Competitive salaries with night, weekend and PRN shift differentials
- An award-winning and incentive-driven wellness program. Including a MyHealth corporate team, onsite financial seminars and coaching
- Employees receive discounts at The Wellness Bar, PEAK Fitness, various cell phone carriers, and more
- Robust and interactive employee bonus program, utilize our mobile ERIN app to alert employees to new positions, make referrals and track your bonuses
- And much more
If you strive to be an integral part of a high-quality healthcare system like Kootenai Health, we want to meet you!
Apply today! Please reach out to Recruiter or Front Desk with any questions.
Kootenai Health complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, veteran status, or sex. Kootenai Health does not exclude people or treat them differently because of race, color, national origin, age, disability, veteran status, or sex.
