LRHPG Patient Scheduler IV - Scheduling and Authorization

Lakeland Regional Health is a leading medical center located in Central Florida. With a legacy spanning over a century, we have been dedicated to serving our community with excellence in healthcare. As the only designated Level 1 Trauma Center for Polk, Highlands, and Hardee counties, and the second busiest Emergency Department in the US, we are committed to providing high-quality care to our diverse patient population. Our facility is licensed for 910 beds and handles over 200,000 emergency room visits annually, along with 49,000 inpatient admissions, 21,000 surgical cases, 4,000 births, and 101,000 outpatient visits.

Active - Benefit Eligible and Accrues Time Off

This role will be responsible for placing patients on the surgery schedule, obtaining appropriate authorizations, and collecting payments.

• Provides excellent customer service while coordinating with outpatient surgical center, providers, and/or patients.
• Places surgical procedure appointments on the schedule and ensures all block times are fully utilized as well as confirming arrival times, add-ons, and cancellations.
• Responsible for performing all functions for registration, insurance verification, precertification/authorization, and prior benefits.
• Verifies patient insurance coverage prior to patient’s date of service, calculate and determine patient responsibility, i.e., copayments, deductibles or non-covered benefits based off information obtained from the insurance carrier and procedure codes scheduled by the physician.
• Collaborates with physicians and/or their office staff to ensure authorization is obtained in a timely manner as is required for scheduled procedure appointments.
• Contacts patient in order to discuss and collect any financial responsibility to patient or guarantor as appropriate.
Collaborate with Admissions, Financial Counseling, and Surgical teams as appropriate.

Essential:

• Must have excellent communications and public relations skills.
• Ability to operate a multi-line phone.
• EPIC use 1 year or longer.
• Knowledge of office computer systems, programs and applications such as MS Word, Excel and Power Point.
Knowledge and exposure to medical terminology and experience in healthcare admissions, scheduling, authorizations, and insurance verification.

Essential:

Other information:

Experience Essential:

• Previous experience in health care setting, preferably in Scheduling or Authorizations of at least 2 years

• Prior Customer Service experience, preferably in a call center environment of at least 2 years

• Knowledge of patient benefits, estimates, and collecting payments

Experience Preferred:

• Knowledge of scheduling and prior authorizations

• Prior experience with reviewing patient benefits and collecting payments