Patient Access Scheduling Representative (Outpatient), Kaneohe Primary Care, Full-time, Day Shift
Kaneohe, Hawaii, United States of America
Full Time
1 day ago
Key skills
LeadershipCommunication
About this role
Located in Kailua, Adventist Health Castle has been one of the area's leading healthcare providers since 1963. We are comprised of a 160-bed hospital, eight medical offices, home care services, urgent cares and a vast scope of services located throughout O'ahu. In 2017, Adventist Health Castle was recognized with the Malcolm Baldrige National Quality Award, the nation's highest presidential honor for performance excellence. O'ahu is known for its ideal climate, diverse culture and picturesque landscape. The allure of Castle's laid-back lifestyle is complimented by its close-knit and proud community.
Job Summary:
Facilitates patient medical and financial clearance using medical and healthcare knowledge, clinical judgment, and communication skills to assist in resolving difficulties surrounding patient access, authorization of services and coordination of scheduled programs. Applies substantial knowledge of the job and experience to complete a wide range of activities with varying difficulty. Regularly works with sensitive and confidential information, often involving the interpretation of policies and procedures to guide use.
Job Requirements:
Education and Work Experience:
- High School Education/GED or equivalent: Preferred
- Associate’s/Technical Degree or equivalent combination of education/related experience: Preferred
- Two years' healthcare experience: Preferred
Essential Functions:
- Coordinates and schedules patient care for all wellness programs. Facilitates communication between patient scheduling staff and all user departments, physicians, physician office staff, patient clients.
- Answers telephone inquiries regarding physician referrals and covers front desk duties when needed. Maintains patient scheduling data base.
- Collaborates with patient financial services (PFS) to ensure appropriate authorizations are obtained in accordance with PFS policy and procedure. Submits documentation for retro-authorization as appropriate, files and appeal for denial of services.
- Develops monthly Wellness newsletter, updating website and developing promotional flyers. Actively participates in training. Performs other duties as assigned by department leadership.
- Performs other job-related duties as assigned.
Organizational Requirements:
Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.
Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.