Patient Access Scheduling Representative (Outpatient), Full Time, Day Shift at Adventist Health

East Honolulu, Hawaii, United States -

Full Time

Start Date

Immediate

Expiry Date

13 Jun, 26

Salary

27.9

Posted On

16 Mar, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Patient Access, Scheduling, Medical Clearance, Financial Clearance, Clinical Judgment, Communication Skills, Authorization, Policy Interpretation, Data Base Maintenance, Retro-authorization, Appeal Filing, Newsletter Development, Website Updating, Promotional Flyer Development, Training Participation

Industry

Hospitals and Health Care

Description

Located in Kailua, Adventist Health Castle has been one of the area's leading healthcare providers since 1963. We are comprised of a 160-bed hospital, eight medical offices, home care services, urgent cares and a vast scope of services located throughout O'ahu. In 2017, Adventist Health Castle was recognized with the Malcolm Baldrige National Quality Award, the nation's highest presidential honor for performance excellence. O'ahu is known for its ideal climate, diverse culture and picturesque landscape. The allure of Castle's laid-back lifestyle is complimented by its close-knit and proud community. Job Summary: Facilitates patient medical and financial clearance using medical and healthcare knowledge, clinical judgment, and communication skills to assist in resolving difficulties surrounding patient access, authorization of services and coordination of scheduled programs. Applies substantial knowledge of the job and experience to complete a wide range of activities with varying difficulty. Regularly works with sensitive and confidential information, often involving the interpretation of policies and procedures to guide use. Job Requirements: Education and Work Experience: * High School Education/GED or equivalent: Preferred * Associate’s/Technical Degree or equivalent combination of education/related experience: Preferred * Two years' healthcare experience: Preferred Essential Functions: * Coordinates and schedules patient care for all wellness programs. Facilitates communication between patient scheduling staff and all user departments, physicians, physician office staff, patient clients. * Answers telephone inquiries regarding physician referrals and covers front desk duties when needed. Maintains patient scheduling data base. * Collaborates with patient financial services (PFS) to ensure appropriate authorizations are obtained in accordance with PFS policy and procedure. Submits documentation for retro-authorization as appropriate, files and appeal for denial of services. * Develops monthly Wellness newsletter, updating website and developing promotional flyers. Actively participates in training. Performs other duties as assigned by department leadership. * Performs other job-related duties as assigned. Organizational Requirements: Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein. Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.

Responsibilities

This role facilitates patient medical and financial clearance by applying healthcare knowledge and communication skills to resolve access and authorization difficulties for scheduled programs. Responsibilities include coordinating patient care scheduling for wellness programs, managing communication between departments and physicians, and ensuring appropriate service authorizations are obtained.