Hybrid Scheduling & Insurance Representative

Job Description

Job Description

Description:

Join our dynamic Imaging Center in the sunny Rancho Mirage, Palm Springs area, a renowned tourist attraction resort community just two hours from the beach and mountains. Home of Coachella and Stagecoach music festivals, PGA Golf Tournament, BNP Paribas Open, and various hiking / biking trails. This valley offers clear skies, breathtaking views, and a vibrant community.

Embrace a career where you will be part of an incredible team, working alongside professional employees in a family-oriented, supportive atmosphere. We offer a competitive salary, comprehensive benefits, bonuses, and a 401(k) plan. Our centers are equipped with state-of-the-art technology, ensuring you work with the best imaging equipment available. Experience the perfect blend of professional growth and personal fulfillment. Come be a part of something special!

Comprehensive Benefits Including:

Flexible Schedule, Weekend Shifts Available, NO CALL, Bonus Opportunities, Medical Insurance, Dental Insurance, Vision Insurance, Life Insurance, Paid Time Off (PTO), Paid Holidays, Paid Family Leave, 401(k) plus Matching, Free On-Site Parking, Long/Short Term Disability, BLS and CPR On-Site Courses

Position Summary:

Under general supervision, performs a variety of scheduling and insurance verification functions within the EIC Information System. These functions include working in conjunction with patients, physician offices, insurance providers and outside billing company to assure accurate and timely scheduling, benefit verification and insurance authorization for all physician ordered procedures. Additional duties include: editing patient demographic data, answering scheduling telephone and interacting with physicians, patients, co-workers and the general public.

Essential Job Functions and Responsibilities:

• Coordinate scheduling of all imaging procedures to ensure department schedules run in an efficient and timely manner.
• Obtains and enters all scheduling information into the appropriate system; including accurate diagnosis, clinical history, special notes, insurance status, etc.
• Timely scheduling of STAT orders from physician offices, communicating directly with modality technologist.
• Communicates directly with Film Library regarding any film or report requests.
• Demonstrates proficient use of communication equipment and computer technology.
• Clear understanding and communication of all exam preps and times allocated to each procedure for every modality.
• Verifies demographic information and updates as needed in all appropriate systems.
• Verifies exam scheduled matches exam ordered by referring physician.
• Works in conjunction with the Pre-Authorization Dept in the timely scheduling of examinations requiring insurance authorization.
• Timely verification of insurance eligibility
• Gathers necessary information for complete pre-registration and authorization of procedures.
• Assists in the maintenance of current demographics in all registration applications updating information as necessary
• Evaluates incoming orders and determines appropriateness of prior authorization
• Acquires retro-authorizations as needed.
• Addresses guest inquiries related to coverage and authorization and/or directs to appropriate party.
• Answers billing company inquiries related to guests and procedures and/or directs to appropriate party.
• Works with scheduling and front desk staff to complete all tasks and responsibilities effectively and efficiently.
• Facilitates positive relations with customers during authorization process.
• Provides training for other staff members regarding prior authorization processes and practices.
• Works closely with all clinical areas to provide feedback on authorization needs and status.
• Demonstrates proficient use of communication equipment and computer technology
• Communicates in a positive manner with physician offices, patients and billing company with respect to insurance information, clinical notes and demographic information.
• Answers telephone and responds to all requests in a timely manner.
• Practices accurate and timely completion of scheduled and unscheduled work to maximize productivity.
• Adheres to radiation safety guidelines under the direction of the technologists and/or radiologists.
• Provide for patient care; comfort, safety and patient confidentiality.
• Ability to manage high patient volumes.

Requirements:

Education: High School Diploma or Equivalent

Experience: 1 year Scheduling Experience

Knowledge / Skills / Abilities:

• Detail Oriented
• Ability to multi-task and prioritize.
• Excellent communication, interpersonal skills and problem solving skills
• Customer Service Oriented
• Provide for patient care; comfort, safety and patient confidentiality.