PRE SERVICE SCHEDULING SPECIALIST

General Purpose of Job:

The Pre-Service Scheduling Specialist's main objective is to accurately schedule and pre-register patients for Sparrow Health System and verify insurance authorization requirements are met. Responsibilities include: scheduling patient appointments, providing pre-registration, verification of insurance, obtaining insurance authorizations, collecting patient payments, providing estimates, entering ICD-10 codes and completing appropriate medical necessity checking. Understand modality specific protocols to safely schedule patients.

Essential Duties:

This job description is intended to cover the minimum essential duties assigned on a regular basis. Associates may be asked to perform additional duties as assigned by their leader. Leadership has the right to alter or modify the duties of the position.

• Interview patients and/or physician offices for the purpose of scheduling and pre-registration. Collect accurate demographic and financial information to assist with billing requirements.
• Enter appropriate ICD-10 codes for registration and billing purposes at the point of scheduling and registration.
• Transcribe verbal orders from physician (offices) with accurate medical information to schedule appropriate exams.
• Provide patients with test prep instructions.
• Verify orders are accurate and verify order meets payer and compliance requirements.
• Verify medical necessity checks upon scheduling a patient.
• Verify insurance eligibility and covered benefits.
• Collect and verify necessary insurance authorizations.
• Utilize appropriate resources to assist when scheduling stat, add-on, or unfamiliar procedure.
• Timely responding to provider and patient requests for scheduling procedure.
• Educate the patient as to their financial responsibility prior to the point of service.
• Provide estimates for services as requested by the patient.
• Collect pre-payment for hospital services that are not covered by the patient's insurance, including co-pays, deductibles, or prior patient balances.
• Process accounts held internally or rejected by payers for errors related to registration, authorization and financial clearanc