Registration & Scheduling Lead – Cardiology Clinic

Fairbanks, Alaska, Overview This position provides subject matter expertise, as well as advanced support for the diagnostic scheduling and pre-authorization/pre-registration teams. Conducts registration and obtains financial reimbursement for all patients accessing service at medical facilities. Reviews all account information to optimize collection efforts and system recording events to expedite reimbursement and compliance, resolves issues as they arise to promote point of service decisions. Performs financial counseling when appropriate. Explains and obtains signatures on hospital legal forms i. e. Conditions of Admission, Financial Agreement, Advance Directive, Hospital Grievance policy. Collects and releases patient valuables in accordance with Administrative Policies. About Tanana Valley Clinic Tanana Valley Clinic (TVC) has provided state-of-the-art medical services to the Fairbanks Community and Interior Alaska for over 50 years. TVC is a 60-provider multi-specialty group.

We have an excellent group of physicians and clinical staff, many of whom have been at TVC for 20+ years, as a testament to our friendly work environment. Our passionate staff seek to make TVC the Medical Home for the people of the Interior of Alaska. ARPA Eligible position *********** Employees who are eligible for ARPA pay will receive quarterly payouts until the funds have been exhausted. Employees who meet the criteria will receive the equivalent of $1. 50 for every eligible hour worked that quarter Responsibilities Assists the supervisor with reg/scheduling rep and diagnostic scheduler training, development, and retention. Fosters a culture that reflects the core values and polices of the department and Foundation Health Partners. Acts as a knowledge resource for internal customers. Serves as a primary resource in complex and/or sensitive cases. Oversees patient flow during the shift, assigning job duties to staff to ensure patient flow is maintained at an optimal level. Resolves employee/patient issues that arise during shift.

Communicates employee issues to supervisor for follow up. Provides a certain level of backup to the supervisor in his/her absence. Performs scheduling, pre-registration/registration processes, verifies insurance coverage and obtains authorizations and notifications. Accurately and completely documents all information into the patient records system to ensure maximum reimbursement. Obtains all necessary signatures and documentation requires by the patient’s insurance plan. May conduct patient visits for bedside registration to expedite the completion of the patient registration. Receives physician orders and seeks clarification, if necessary. Coordinates case times for treatments or diagnostic procedures in a computerized scheduling system. Verifies and reviews physician privilege status prior to scheduling. Interfaces with medical staff office to maintain log of current privilege status and maintains confidentially of all information.

Schedules and maintains physician or diagnostic block time and block time releases. May acquire and maintain physician preference information and staff roster. Answers all telephone inquiries related to scheduling. Calculates patient liability according to verification of insurance benefits, collect deposits and copayments. Distributes educational materials to patients and families, when necessary. Responds to diverse questions or refers to appropriate clinical staff. Provides financial counseling to patients and their families. Explains FHP financial policies and provides information as to available resources and avenues for alternative payment arrangements. Assists patients and their families in completing financial assistance paperwork when appropriate. Communicates with physicians and other employees to resolve outstanding issues and/or patient concerns.

Works to meet the patients’ needs in financial services. Acts as a liaison between patient/PFS department/payor to enhance account receivables performance, resolve outstanding issues and/or patient concerns, and to maximize service excellence. Meets or exceeds productivity standards. Completes daily assignments and maintains accurate production logs. Audits the demographic and financial files created during shift for payor compliance and completeness. Identifies opportunities to improve work processes and practices good work group dynamics. Marginal functions may include transporting patients or conducting other work of the patient financial services team. Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards. Provides all customers of Foundation Health with an excellent service experience by consistently demonstrating our core and leader behaviors each and every day. Qualifications High school diploma/GED or equivalent working knowledge.

Requires ability to demonstrate advanced skills normally acquired over three (3) or more years of relevant work experience and ability to function independently within two or more areas of the department. Requires demonstrated knowledge of medical terminology and a broad understanding of all common insurance and payor types and authorization requirements. Prior experience in hospital registration, prior authorization, and/or scheduling required. Requires the ability to manage multiple tasks simultaneously with minimal supervision and to work independently. Requires strong interpersonal, oral, and written communication skills to effectively interact with a wide range of audiences. Must be proficient with commonly used office software and computers and possess the ability to use computerized scheduling systems. Must be able to maintain accurate statistical records, gather data, and produce reports. PREFERRED QUALIFICATIONS Work experience with the FHP’s systems and processes is preferred. Additional related education and/or experience preferred. Foundation Health Partners is an EEO/AAP employer; q qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status.

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