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Precertification Specialist / Scheduler (Glenwood Springs Office)

Company: Aspen Valley Hospital
Location: Colorado Springs
Posted on: April 25, 2019

Job Description:

Precertification Specialist / Scheduler (Glenwood Springs Office) Aspen Valley Hospital offers a variety of benefits and opportunties to Employees. This position is located in our Glenwood Springs office, and is a Full Time position Monday through Friday 8 hours a day. As a full time Employee, you are elgible for our extensive benefits packages including Paid Time Off, Medical, Dental, # Vision benefits.# Job Summary: The precertification specialist # scheduler assists in scheduling patient appointments#for all clinical service departments using Meditech Scheduling and B/AR module, and to act as liaison between Hospital departments to effectively coordinate scheduling of tests and procedures.# Responsible for pre-authorization function to assure accurate and timely payor information and fiscal responsibility.# Accurately schedules appointments, choosing appropriate appointment types, and correct data entry. Professional # responsive communication with physicians, patients, and departments. Mammo - interviews # schedules patients using:# symptoms/screening, Insurance/Komen or other Grants, implants, # requests for previous films. Assist Breast Liaison with follow-up. Keeps current on all grant criteria # requirements Works with other PFS staff to ensure fiscal management of appointments. Stays current on Medicare # insurance requirements, ensuring ABN#s # insurance waivers # pre-certs are completed # communicated to patient # scanned Complies with all Hospital, patient confidentiality, ABN#s and insurance waivers. Participates in trainings # staff meetings. Reads daily summary reports # emails to be aware of changes. Fiscal responsibility including reviewing and completing ABN#s, Insurance authorizations/waivers, and ensuring completed precertification as needed. Schedules and pre-certifies all Physical Therapy patients-at all AVH locations.# Reviews and monitors CAP requirements and ABN#s for Medicare patients.# Pre-certify and/or check for MCR ABN on all patients with scheduled lab tests-at all AVH locations. As above does all pre-certification, insurance authorizations and waivers, required ABN#s and CAPS. KNOWLEDGE, SKILLS # ABILITIES # # EDUCATION/EXPERIENCE REQUIREMENTS # ######### High School graduate or GED preferred ######### 2-3 years of experience in related healthcare field preferred # KNOWLEDGE AND SKILL REQUIREMENTS # ######### Ability to concentrate and show attention to detail ######### Relatively high degree of analytical abilities ######### Strong interpersonal skills required ######### Ability to work independently LANGUAGE SKILLS # ######### Ability to read and communicate effectively in English ######### Spanish preferred # WORKING CONDITIONS # ######### Normal patient care environment with little exposure to excessive noise, dust and temperature ######### May be exposed to communicable diseases through normal or careless performance of responsibilities ######### May be exposed to mechanical dangers associated with mechanical devices ######### May be exposed to stressful situations # # # DESCRIPTION OF PHYSICAL DEMANDS # PHYSICAL DEMANDS # On-the-job time is spent in the following physical activities.# - Percent of Time- Stand 10% Walk 10% Sit 80% Talk or hear 99% Use hands to finger, handle or feel 100% Push or pull 10% Stoop, kneel, crouch or crawl 10% Reach with hands and arms 10% Taste or smell 00% # This job requires that weight be lifted or force be exerted. - Yes/ No - Up to 10 pounds yes## Up to 25 pounds yes## Up to 50 pounds no### Up to 100 pounds no### More than 100 pounds no### # This job has vision requirements as follows:############# - Yes/No - Clear close vision yes# Clear distance vision yes# Depth perception yes# Three-dimensional vision; ability to judge ## distances and spatial relationships yes Ability to adjust eye to bring an object into ## sharp focus yes Specific demands not listed: WORK ENVIRONMENT # Job requires exposure to the following environmental conditions: -Yes/No - Wet, humid conditions (non-weather no### Work near moving mechanical parts yes## Fumes or airborne particles no### Toxic or caustic chemicals no### Outdoor weather conditions no### Extreme cold (non-weather no### Extreme heat (non-weather no### Risk of electrical shock yes## Work with explosives no### Risk of radiation no### Vibration no### # Hearing ability required for work environment is:### - Yes/No - Ability to hear alarms on equipment yes## Ability to hear patient call yes## Ability to hear instructions clearly yes## # - Hi/Med/Lo - The typical noise level for the work environment is:########### med## # Repetitive Motion Actions - Percent of Time - Repetitive use of foot control 00%### Repetitive use of hands 100%## Grasping - simple/light 80%## Grasping - firm/heavy 2%## Fine dexterity:######## 50% ## Aspen Valley Hospital offers a variety of benefits and opportunties to Employees. This position is located in our Glenwood Springs office, and is a Full Time position Monday through Friday 8 hours a day. As a full time Employee, you are elgible for our extensive benefits packages including Paid Time Off, Medical, Dental, & Vision benefits. Job Summary: The precertification specialist & scheduler assists in scheduling patient appointments for all clinical service departments using Meditech Scheduling and B/AR module, and to act as liaison between Hospital departments to effectively coordinate scheduling of tests and procedures. Responsible for pre-authorization function to assure accurate and timely payor information and fiscal responsibility. Accurately schedules appointments, choosing appropriate appointment types, and correct data entry. Professional & responsive communication with physicians, patients, and departments. Mammo - interviews & schedules patients using: symptoms/screening, Insurance/Komen or other Grants, implants, & requests for previous films. Assist Breast Liaison with follow-up. Keeps current on all grant criteria & requirements Works with other PFS staff to ensure fiscal management of appointments. Stays current on Medicare & insurance requirements, ensuring ABN's & insurance waivers & pre-certs are completed & communicated to patient & scanned Complies with all Hospital, patient confidentiality, ABN's and insurance waivers. Participates in trainings & staff meetings. Reads daily summary reports & emails to be aware of changes. Fiscal responsibility including reviewing and completing ABN's, Insurance authorizations/waivers, and ensuring completed precertification as needed. Schedules and pre-certifies all Physical Therapy patients-at all AVH locations. Reviews and monitors CAP requirements and ABN's for Medicare patients. Pre-certify and/or check for MCR ABN on all patients with scheduled lab tests-at all AVH locations. As above does all pre-certification, insurance authorizations and waivers, required ABN's and CAPS. KNOWLEDGE, SKILLS & ABILITIESEDUCATION/EXPERIENCE REQUIREMENTS High School graduate or GED preferred 2-3 years of experience in related healthcare field preferredKNOWLEDGE AND SKILL REQUIREMENTS Ability to concentrate and show attention to detail Relatively high degree of analytical abilities Strong interpersonal skills required Ability to work independentlyLANGUAGE SKILLS Ability to read and communicate effectively in English Spanish preferredWORKING CONDITIONS Normal patient care environment with little exposure to excessive noise, dust and temperature May be exposed to communicable diseases through normal or careless performance of responsibilities..... click apply for full job details

Keywords: Aspen Valley Hospital, Broomfield , Precertification Specialist / Scheduler (Glenwood Springs Office), Administration, Clerical , Colorado Springs, Colorado

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