PRE SERVICE SCHEDULING SPECIALIST

Pre-Service Scheduling Specialist

The Pre-Service Scheduling Specialist's main objective is to accurately schedule and pre-register patients for Sparrow Health System and verify insurance authorization requirements are met. Responsibilities include: scheduling patient appointments, providing pre-registration, verification of insurance, obtaining insurance authorizations, collecting patient payments, providing estimates, entering ICD-10 codes and completing appropriate medical necessity checking. Understand modality specific protocols to safely schedule patients.

Essential Duties:

• Interview patients and/or physician offices for the purpose of scheduling and pre-registration. Collect accurate demographic and financial information to assist with billing requirements.
• Enter appropriate ICD-10 codes for registration and billing purposes at the point of scheduling and registration.
• Transcribe verbal orders from physician (offices) with accurate medical information to schedule appropriate exams.
• Provide patients with test prep instructions.
• Verify orders are accurate and verify order meets payer and compliance requirements.
• Verify medical necessity checks upon scheduling a patient.
• Verify insurance eligibility and covered benefits.
• Collect and verify necessary insurance authorizations.
• Utilize appropriate resources to assist when scheduling stat, add-on, or unfamiliar procedure.
• Timely responding to provider and patient requests for scheduling procedure.
• Educate the patient as to their financial responsibility prior to the point of service.
• Provide estimates for services as requested by the patient.
• Collect pre-payment for hospital services that are not covered by the patient's insurance, including co-pays, deductibles, or prior patient balances.
• Process accounts held internally or rejected by payers for errors related to registration, authorization and financial clearance.

Job Requirements

General Requirements:

• Patient Access or Revenue Cycle Certification - preferred.

Work Experience:

• Experience must be in one of the following areas: health care scheduling billing, health insurance verification, ICD-10 coding, medical necessity checking, authorizations and copay collections. Experience in customer service or call center - preferred.

Education:

• Associate Degree in health care billing, accounting or business and a minimum of 1 year of health care healthcare scheduling and patient registration experience; OR High School Diploma/GED and a minimum of 3 years of health related experience in healthcare scheduling, billing, and registration. Completion of Medical Terminology course - preferred.

Specialized Knowledge and Skills:

• Excellent word processing and computer typing skills.
• Demonstrated interpersonal and communication skills.
• Must pass a medical terminology assessment test with 80% or greater.
• Must successfully complete analytical skills assessment test with 65% or greater.

University of Michigan Health - Sparrow 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.