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SIH-Outpt Authorization Coord

Company: Sparrow Health System
Location: Lansing
Posted on: June 24, 2022

Job Description:


Positions Location: Ionia, MI

Job Description

General Purpose of Job:

Perform registration, scheduling, verification of insurance and authorization for the Sparrow Ionia outpatient rehabilitation and orthopedic clinics.

Essential Duties:

This job description is intended to cover the minimum essential duties assigned on a regular basis. Caregivers may be asked to perform additional duties as assigned by their leader. Leadership has the right to alter or modify the duties of the position.

* Answer the telephone for the clinics as necessary. Demonstrates ability to handle a large volume of telephone calls daily.
* Interview patients for the purpose of entering confidential patient demographic and insurance information into the EPIC system for all Outpatient Rehab Departments. Performs registrations and scheduling for outpatient rehabilitation and orthopaedic department patients.
* Assist with boarding of patient orthopaedic surgeries with the SIH surgery department.
* Collect complete and accurate demographic and financial information while in compliance with federal regulations such as HIPAA and EMTALA.
* Assist SIH Orthopaedic and Physical Therapy Receptionist(s) as needed.
* Verify insurance eligibility by using all electronic systems available to them or verification by phone. Collect and verify necessary authorizations as appropriate and possess general knowledge of financial class requirements with regard to registration and insurance requirements. Document financial information in the accounts for billing purposes.
* Possesses knowledge of insurance changes and works with Patient Financial Services to ensure accurate billing. Assists in the quality control process to maintain a level of accuracy to produce an accurate claim.
* Cooperate with outpatient rehab staff and other health system departments to maximize the efficiency of non-clinical services such as registering, scheduling, authorization, and billing of our patients.
* Maintain referral and patient stats as assigned.
* Assists in training new Caregivers and reports the progress to the Supervisor or Manager.
* Cross-train with other office staff to competently cover other positions with minimal supervision.
* Serve as a role model for consistent demonstration of Sparrow Health System's Customer Service Behavioral Standards of performance by respecting the Privacy and Confidentiality of those we serve.
* Maximize customer satisfaction by treating our customers with respect and responding to their needs in a prompt, friendly, and courteous manner.

Job Requirements

General Requirements BLS Certification (within 6 months of hire). Work Experience Minimum of 6 months experience in a healthcare office or similar setting. Minimum of 1 year of previous customer service experience. Education High school diploma or GED. Specialized Knowledge and Skills Knowledge of health insurance coverage, policies/procedures and/or experience in patient billing, admitting or related field. Demonstrate working knowledge of Microsoft Office applications or other computer software as deemed appropriate. Computer keyboard experience of 50 WPM. Knowledge of medical terminology and ICD-9 and ICD-10 coding. Demonstrate effective written and verbal communication skills and strong interpersonal skills. Demonstrate ability to prioritize and keep pace in a very busy setting. Ability to perform multiple tasks and adapt to changing work situations.

Sparrow Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veteran status

Location: Sparrow Ionia Hospital

Activation Date: Friday, April 8, 2022

Expiration Date: Sunday, January 1, 2023

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Keywords: Sparrow Health System, Lansing , SIH-Outpt Authorization Coord, Other , Lansing, Michigan

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