Full employer posting
Responsibilities Manatee Physician Alliance is a multi-specialty physician group that offers Primary Care, Cardiology, , General and Bariatric Surgery. Our team of physicians, advanced practitioners and staff deliver quality and compassionate care in a collaborative patient focused approach. We value our employees’ contributions and offer advancement opportunities.
Independence Physician Management (IPM)- located at 714 Manatee Avenue, Bradenton, FL 34208, a subsidiary of UHS, was formed in 2012 as the physician services unit of UHS. IPM develops and manages multi-specialty physician networks and urgent care clinics which align with UHS acute care facilities. It also provides select services for the Behavioral Health division of UHS.
Through continuing growth, IPM operates in 12 markets across six states and the District of Columbia. Our leadership team, practitioners, and teams of healthcare professionals are collectively dedicated to improving the health and wellness of people in the communities we serve. As a Manatee Physician Alliance employee you will be part of a first class organization offering: Please refer to your Provider Employment Agreement Competitive Compensation & Generous Paid Time Off Excellent Medical, Dental, Vision and Prescription Drug Plans 401(K) with company match About Universal Health Services (UHS), Inc.
One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $14.3 billion in 2023.
During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. The Scheduler is responsible for accurately performing the pre-access functions required to schedule patients, which includes scheduling outpatient diagnostic procedures and completing the pre-registration and insurance verification processes. Always demonstrates Service Excellence.
Must possess excellent written and oral communication skills, as well as organizational skills. Scheduling Responsibilities Accurately schedules patients in accordance with guidelines in the scheduling application for assigned outpatient procedures and in accordance with ancillary department specifications, including but not limited to adding and deleting procedures and rescheduling appointments. Guides the physcian, physician office staff, and/or the patient through the scheduling process.
Confirms appointments by contacting physicians and/or patient as needed. Collaborates with other areas to coordinate resource coverage. Collaborates with physician and/or office staff and the ancillary and scheduling departments to assess the needs of the patient to effectively manage the patient’s pre-registration experience.
Courteously and professionally interviews patients over the telephone, demonstrating outstanding verbal and customer service skills. Provides patient prep requirements according to procedure specific documentation. Accurately and thoroughly completes pre-registrations, maintaining an accuracy rate in accordance with departmental quality goals.
Insurance Verification/Authorization and Data Entry: Obtains insurance information to expedite the verification/authorization/pre-certification process. Enters complete and accurate data into computer with emphasis placed on correct date, codes, and spelling. Thoroughly completes the outpatient verification process to ensure the accuracy of insurance information and that authorization requirements have been met for all scheduled patients prior to receiving services.
Reviews previous account history and consults with Supervisor when considering possible delay of services during Pre-Access processes. Obtains diagnosis information and/or CPT code from the physician/office or the outpatient department, as necessary for completing the insurance authorization process. Ensures appropriate authorization is obtained and verified.
Ensure proper identification checks are always adhered to. Determines patient liability based on third party payer information. Effectively communicates patient estimated financial obligation and pursues payment, deposit or arrangements in accordance with hospital policy.
Documentation Management: Maintains all pre-services documentation necessary for compliance with state, federal and other regulatory agency requirements. Monitors appropriate reports in accordance with the pre-access process, to ensure timely scheduling, pre-registration and insurance verification. Obtains and processes physicians’ orders (i.e., calls to obtain orders, scans orders into the Document Imaging application, reminds patients to bring orders, etc.
Maintains proficiency in the various systems utilized during the pre-access process. Demonstrates proficiency within assigned area of responsibility and a general understanding of the entire Patient access process Qualifications Job Requirements
High School Graduate/GED required. Work
Minimum one year of experience required working in a healthcare environment. Experience in data entry, customer service, collections and medical terminology preferred. Knowledge: Possesses understanding of third-party requirements and healthcare billing.
Knowledge of regulations and HIPAA privacy standards is strongly preferred. Medical Terminology/Health Insurance Navigation
Computer proficiency to include word processing and patient accounting system. Strong verbal and written communications skills required. Service-oriented/customer-centric.
Excellent organization skills and attention to detail. Abilities: Ability to handle data entry accurately in a high-paced environment. Ability to reconcile data and identify discrepancies.
Demonstrated competency in basic computer skills. Ability to prioritize and perform work in an organized, efficient, and effective manner. Operate within the concept of patient-focused care.
Equipment Operated Standard office equipment (laptop, computer, calculator, fax, copier, scanner, etc.) Work environment: Remote and medical office setting Travel
0-10%
About the role
Guides the physcian, physician office staff, and/or the patient through the scheduling process. Confirms appointments by contacting physicians and/or patient as needed. Collaborates with physician and/or office staff and the ancillary and scheduling departments to assess the needs of the patient to effectively manage the patient’s pre-registration experience.