✓You’ll need

Certifications

✓MOAB Certification during Kootenai Health Essentials required

Medical Terminology certificate preferred

Education

High School Diploma or equivalent preferred

Bachelors’ degree in Business Management or closely related field preferred

Qualifications

✓Minimum of 6 months prior customer service experience required

✓Strong customer service skills and patients/customer centered focus in positive manner in all situations

✓Excellent communication skills (telephone, written, inter-personal and customer-relation)

2 years’ experience working in a hospital, medical office, or health insurance setting, with third party government program or commercial insurance familiarity, specifically registration and insurance verification preferred

Previous Epic or other hospital scheduling/registration and clinical software experience preferred

Knowledge of CPT, ICD-10 and HCPCs codes preferred

Surgical, diagnostic, and/or office visit scheduling, patient accounts, and/or practice assistant experience, preferred

Previous Epic software experience in Radiant, Cupid, Cadence, ADT, and/or other Epic modules, preferred

+Benefits

Medical, dental and visionTuition assistanceRetirement planShift differentials

About the role

Performs accurate insurance verification, pre-authorization, scheduling and patient estimates in advance of patient care

Responsible for timely scheduling, pre-authorization, pre-registration, registration and point of service collections for scheduled appointments and procedures, and for registration and point of service collections for non-scheduled patients, receiving care at all Kootenai Health locations. Responsibilities
Performs accurate insurance verification, pre-authorization, scheduling and patient estimates in advance of patient care
Provides scheduling and registration services for inpatient, outpatient, and Emergency Department
Schedules procedures and visits in compliance with business line and clinic-specific workflows, in coordination with each department’s specified patient care and provider needs
Determines financial responsibility through patient estimate calculations, and communicates to patients prior to service date, including network benefits, out-of-pocket costs, as well as Good Faith Estimate for uninsured patients in compliance with the No Surprises Act
Obtains and validates required referral information, including physician orders, clinical records, demographic, and benefit and eligibility information
Meets payor pre-authorization requirements to secure full insurance or government payer reimbursement
Documents all required scheduling, financial clearance, and registration information, including patient estimate, in appropriate Epic modules, to ensure a complete and legal record is recorded
For uninsured patients, identifies and verifies active payer sources for patients, or refers to financial counseling for third-party linkage or financial assistance
Provides courteous and efficient service to patients, accurate documentation/verification of patient pre-registration information, and professional and timely communications with medical staff and administrators
Assists in denials reduction through review and research of registration, authorization or medical necessity claims denials as needed; reports findings to department manager
As needed, educates patients on insurance policy limitations, self-pay obligation, payment plan or financing options; Refers uninsured patients to Financial Counseling for financial assistance or Medicaid linkage
Communicates with patients, physicians, payers, families, financial counselors, transitional care or transfer center staff, or other Kootenai Health partners
Performs other related duties as assigned
Familiar with standard concepts, practices, and procedures within the field
Regular and predictable attendance is an essential job function
Competent to meet age specific needs of the unit assigned Requirements and

High School Diploma or equivalent preferred
Bachelors’ degree in Business Management or closely related field preferred
Minimum of 6 months prior customer service experience required
2 years’ experience working in a hospital, medical office, or health insurance setting, with third party government program or commercial insurance familiarity, specifically registration and insurance verification preferred
Previous Epic or other hospital scheduling/registration and clinical software experience preferred
Knowledge of CPT, ICD-10 and HCPCs codes preferred
Medical Terminology certificate preferred
Surgical, diagnostic, and/or office visit scheduling, patient accounts, and/or practice assistant experience, preferred
Previous Epic software experience in Radiant, Cupid, Cadence, ADT, and/or other Epic modules, preferred
Strong customer service skills and patients/customer centered focus in positive manner in all situations
Excellent communication skills (telephone, written, inter-personal and customer-relation)
MOAB Certification during Kootenai Health Essentials required Working Conditions
Must be able to lift and move up to 25 lbs
Must be able to kneel, stoop, crouch, or bend
Must be able to reach arms above or below shoulder height
Must be able to maintain a standing and/or sitting position
Must be able to move or traverse with/without accommodation
Must be able to push, pull, or transport heavy equipment
Must be able to communicate and exchange accurate information
Typical equipment used in an office job
Potential exposure to unpredictable individuals and volatile interactions
Repetitive movements About Kootenai Health: Kootenai Health is a highly esteemed healthcare organization serving patients throughout northern Idaho and the Inland Northwest. We have been recognized with many accolades and distinctions, including being a Gallup Great Workplace, No. 1 Best Place to Work in Large Healthcare Organizations, and Magnet™ Status for Nursing Excellence. We pride ourselves on our outstanding reputation as an employer and a healthcare provider. As your next employer, we are excited to offer you: Kootenai Health offers comprehensive medical plan options, including options for fully paid employer premiums for our full-time employees. For part-time employees, we offer the same plan options with affordable part-time premiums. In addition to medical insurance, we offer many voluntary benefits ranging from dental and vision to life and pet insurance. Kootenai Health also offers well-being resources and telemedicine service options to all employees, regardless of benefit eligibility. Benefits begin on the 1st of the month following 30 days of employment. Kootenai Health’s tuition assistance program is available after 90 days. If you want to further your education, we'll help you pay for it Kootenai Health sponsors retirement plans for employees that enable you to save money on a pre-tax and Roth after tax basis for your retirement. Kootenai Health will match your contributions based on years of service ranging from 3-6 percent. Competitive salaries with night, weekend, and PRN shift differentials An award-winning and incentive-driven wellness program. Including a MyHealth corporate team, onsite financial seminars, and coaching Employees receive discounts at The Wellness Bar, PEAK Fitness, and more Robust and interactive employee referral program And much more Kootenai Health provides exceptional support for extraordinary careers. If you want to work on a high-quality, person-centered healthcare team, we can't wait to meet you! Apply today! Please contact the HR Front Desk at 208-625-4620 or email careers@kh.org   with any questions. Kootenai Health complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, veteran status, or sex. Kootenai Health does not exclude people or treat them differently because of race, color, national origin, age, disability, veteran status, or sex.

Schegistrar

Other clerical roles at Kootenai Health in IdahoOther Kootenai clerical roles, ID

About the role