Precertification Jobs in Illinois (NOW HIRING)

Description

The Central Scheduling Specialist is responsible for coordinating and scheduling patients for all hospital services using EHR. This position ensures that all scheduling protocols are followed, required orders, and authorizations are obtained, and all necessary documentation is completed prior to patient appointments. This position will obtain insurance benefits & precertification, including collection on estimated patient balance due. This position will perform pre-registration phone calls on patients scheduled for services. All patients and visitors are to be welcomed in a warm, caring, and professional manner.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Generates accurate and complete admission records on the computer.
• Schedules all patient appointments for the hospital departments. 
• Follows the protocols for such scheduling, obtains proper paperwork, consent/required signatures in accordance with quality standards while maintaining accuracy.
• Communicate closely with interdepartmental staff, coordinating the schedules and obtaining proper paperwork, orders and previous diagnostic testing when needed.
• Ensure patients that require lab work for certain tests do so in a timely manner that will not disrupt the schedule.
• Is responsible for obtaining, scanning, scheduling, and filing all orders for all services coming into the facility. 
• Works with insurance companies to obtain precertification and document correct information needed for billing.
• Generates daily reports and distributes them to proper departments.
• Utilizes computers to determine patient locations for directing callers and visitors to appropriate patient room.
• Pre-registers and pre-admits scheduled patients.
• Accurately scans orders and paperwork daily.
• Other duties may be assigned and are subject to change with or without prior notice.
• Show initiative. Tasks are completed before the end of shift and aids in the preparation for the next day. Utilizes time wisely. Does not allow for unimportant interruptions. Able to multi-task, prioritize work, and complete it in a timely manner.
• Demonstrates knowledge of the department and management line of authority and follows proper lines of communication. Shows good problem-solving skills yet seeks guidance and direction from manager when necessary.
• Adhere to all hospital and scheduling department policies, procedures, rules and regulations, while meeting the requirements of the Code of Conduct and hospital compliance program.

Requirements

Professional Requirements:

• Maintain orderly condition of assigned work area.
• Maintain confidentiality of all patients, hospital, and physical related information.
• Is knowledgeable of general hospital and department specific policies and procedures.
• Demonstrate good positive communication skills with patients, families, and medical staff as well as co-workers

Education and/or Experience:

• High school diploma required. Higher Education Preferred.
• Experience in obtaining insurance benefits & insurance precertification required.
• Medical terminology course or experience preferred.
• Required proficiency in general clerical office duties, i.e., computer keyboarding, average typing skills, and switchboard console.
• Excellent customer services skills required.                           
• Previous experience as receptionist, secretary or switchboard in a healthcare setting is preferred.
• Must be able to work with interruptions and pay attention to detail
• Must maintain an average accuracy of 98.7% or above.

Certificates and Licenses:

None

Physical Demands:

For physical demands of the position, including vision, hearing, repetitive motion and environment, see the following description.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position without compromising patient care.

CORPORATE COMPLIANCE

Receives training and/or attends necessary meetings to meet the criteria as outlined in Hillsboro Health's Corporate Compliance Plan and Code of Conduct. Understands the responsibilities related to compliance and knows to contact the Corporate Compliance Officer should there be any instance of question or concern regarding fraud and/or abuse.

BENEFITS

Please use the link below to visit our website for a list of benefits offered. 

https://www.hillsborohealth.org/careers