Join our Talent Network
Skip to main content
   Current UPHS employees must apply HERE

Financial Services Associate Surgery Scheduler - FT

This job posting is no longer active.

Job ID: 157583
Category: Customer Service/Patient Access
Work Type: FT
Location: Philadelphia, PA, United States
Date Posted: Nov 15, 2022
Work Schedule: dAYS

Save Job Saved

Description

Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.

Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?

Summary:

  • Verifies benefits and pre-certification of all urgent and emergency admissions. Obtains benefits, referrals and confirm authorizations on scheduled cases for which the Physician Practices are responsible to obtain authorizations. This position will ensure access to integrated healthcare; achieve clinically appropriate authorization to assure optimal reimbursement for the hospital for services provided. Schedules specific surgical procedures in Opt Time for both inpatient and outpatient cases.

Responsibilities:

  • Educate and communicate with all involved departments including but not limited to Patient Access, CRM, Physician Practices and their designees
  • Obtain detailed and accurate insurance benefit information with given ICD-10 and CPT codes
  • Identify and act on all out of network and underinsured cases to ensure appropriate reimbursement
  • Communicate with patients to verify incomplete insurance information. Notify HMO patients and Physician Practices regarding referrals in order to obtain prior to date of service. Financial counsel patients about co-pays and financial responsibility, pre-certify and obtain authorization numbers
  • Use online verification tools and fax to submit all information required to insurance companies to obtain an authorization number for pre-cert
  • Maintain standards set by the Office of Compliance and HIPPA in reference to confidentiality
  • Daily follow up with insurance carriers on all pending authorizations and referrals
  • Maintain EPIC Workque list by coding accounts as they are updated and/or completed
  • Provide accurate, detailed information to Patient Accounting and CRM to ensure facilitation of approved encounters and timely claim reimbursement
  • Schedules OR cases for Non-UPHS Physician office’s by entering patient registration information into Penn Chart and Opt Time
  • Schedules ECT procedures and C-Sections in OPT Time
  • Works with Perioperative Services on scheduling issues in OPT Time

Education or Equivalent Experience:

  • H.S. Diploma/GED (Required)
  • 2+ years Hospital Business Office preferred

Location: 

Pennsylvania Hospital / 800 Spruce Street

We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.

Live Your Life's Work

We are an Equal Opportunity and Affirmative Action employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.

   Current UPHS employees must apply HERE
Share: mail
 

Similar Jobs