Advanced Outpatient Preservice Specialist - Registration (Req2581)

Employment Type: Staff - Regular

Employee Class: Classif'd Part Time AFSCME HSC

Bargaining Unit: AFSCME

Shift: 2

Work Hours: 11:00A - 11:00P

Hours Per Week: 20

FTE: 0.5

Location: HSC Hospital

Department: Registration

Number of Openings: 1

Salary Range: Starting hourly rate $16.67

Grade: Classified AFSCME HSC - C1281

Float: Yes

Rotate: Yes

On Call: Yes

Travel: Yes

Weekend/Holiday: Yes

Requisition ID: req2581

Position Control Number (PCN): H92818

Posting Period: open until filled

Position Description:

The Advanced Outpatient Preservice Specialist performs all scheduling, pre-registration and insurance verification for outpatient surgery, imaging care, advanced diagnostic testing, infusion services, and other non-routine outpatient care services.  Performs complete and accurate patient appointment scheduling, account pre-registration, insurance verification and authorization functions either via electronic media collection or telephonic interview methods; works to provide patient information which maximizes reimbursement, achieves collection ratios, meets accounts receivable (AR) goals, and provides timely and through information to all other providers and users of patient data.  Verifies insurance requirements, obtains and understands insurance benefits, obtains prior authorizations and care certifications as required by applicable payors.  Requests any non-covered patient collectibles such as coinsurance, deductibles, and copayments prior to service;  Ensures that patients meet financial requirements and that insurance authorization requirements are met prior to services being rendered;  Provides general information to hospital users, patients and families; Communicates effectively to service delivery areas to maximize patient flow and customer service outcomes both internally and externally.

Qualifications:

1. High school graduate or equivalent required.

2. 1 year experience with ICD-9 and/or CPT codes required.

3. Medical practice insurance and coding diploma, Registered Health Information Technician, Certified Healthcare Access Associate, Certified Revenue Cycle Representative, Licensed Practice Nurse, or like designation preferred.

4. Two years current professional office experience in medical collections, billing, medical insurance verification and precertification, advanced patient scheduling or equivalent education preferred.

5. 40wpm typing speed required.

6. Experience in internet, internet navigation, word processing, standard computer manipulation required

7. Ability to calculate fractions, decimals and percentages and to read and write common vocabulary required.

8. Ability to work with minimum supervision. 

9. Excellent communication skills, oral and written skills. 

10. Ability to deal with confrontation.

11. Ability to develop and maintain professional, service oriented working relationships with patients, families, physicians, nurses, co-workers, supervisors and others.

12. Must be able to understand and comply with policies and procedures.

13. Possess excellent analytical and problem solving skills and perform multiple tasks while working independently.

14. Ability to work collaboratively with a high performance team of professionals in partnership toward common objectives

15. Knowledge of information systems and healthcare applications.

16. Proficient in Word and Excel, required.

17. Work in a professional office environment with possible high stress levels

18. Previous customer service experience required.

Working Conditions:Perform multiple tasks with interruptions and required deadlines in stressful environment.Good visual and hearing discrimination. High level of interaction with multiple departments and peers in multiple mediums.Ability to work independentlyAbility to keep up with a fast pace environmentAbility to work at a computer for extended periods of timeAbility to be on the phone for extended periods of time.Ability to sit at a desk for extended periods of timeGENERAL COMMENTS: Frequent changes in job duties and assignments may be anticipated due to the nature of episodic patient flows and volumes. Cross-functionality, teamwork and flexibility are keys to success in the position. The information listed is intended to describe the general nature and level of work performed by people assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the people so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct and control the work of employees under his/her supervision.

The above list of duties is intended to describe the general nature and level of work performed by people assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the people so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct and control the work of employees under his/her supervision.

The University of Toledo is an equal opportunity, affirmative action employer. The University of Toledo does not discriminate in employment, educational programs, or activities on the basis of race, color, religion, sex, age, ancestry, national origin, sexual orientation, gender identity and expression, military or veteran status, disability, familial status, or political affiliation.

The University of Toledo provides reasonable accommodation to individuals with disabilities. If you require accommodation to complete this application, or for testing or interviewing, please contact the Human Resources Department at 419-530-4747 between the hours of 8:30AM and 5:00PM or apply online for an accommodation request.

Computer access is available at most public libraries and at theOffice of Human Resources located in the Center for Administrative Support atMain Park Campus or at the satellite HR Office located at the FacilitiesServices Building, Suite 1000 on the Health Science Campus.

To promote the highest levels of health and well-being, theUniversity of Toledo campuses are tobacco-free.  To further this effort,effective July 1, 2019, the University of Toledo Health Science Campus MedicalCenter requires all candidates for employment to be nicotine-free. Pre-employment health screening requirements will include cotinine (nicotine)testing, as well as drug and other required health screenings. Any employmentoffer is conditional upon successful completion of a cotinine test.