JOB DESCRIPTION Patient Representative/Authorization Coordinator
[Pages:2]HUMAN RESOURCES JOB DESCRIPTIONS / Patient Accounting
SUBJECT: Patient Representative/Authorization Coordinator
JOB DESCRIPTION
Page 1 of 2 HRJD.070
Patient Representative/Authorization Coordinator
Department: Reports to:
Admissions Business Office Manager
JOB DUTIES & RESPONSIBILITIES
Job Summary:
Under direct supervision of the Business Office Manager the Patient Representative/ Authorization Coordinator meets with patients for same day registration and preregistration for inpatient and outpatient surgeries. Coordinates with physician offices to verify that all necessary insurance authorizations are received for inpatient, outpatient and diagnostic procedures to be performed at Stanislaus Surgical Hospital (SSH). Works with Admissions Supervisor on staff schedule, patient questions and issues.
JOB SPECIFICATIONS
Education: High School Diploma or equivalent
Experience and Skills: 1. Minimum of 3 years in admitting for health care organization 2. Minimum of 2 years insurance verification and authorizations 3. Familiar with CPT, HCPCS, ICD 9 and DRG codes 4. Able to read and understand insurance payer contracts 5. Professional appearance 6. Use of proper grammar and spelling 7. Excellent Communication skills 8. Excellent Customer Service skills 9. Dependable 10. Excellent Organization skills
Job Duties: 1. Meet with surgical patients for same day registration and pre-registration 2. Review the following with patients:
a. Health Questionnaire b. Verification of demographics
D. Martin 1-2013 Approved by: Human Resources
Page 2 of 2
HUMAN RESOURCES JOB DESCRIPTIONS / Patient Accounting
SUBJECT: Patient Representative/Authorization Coordinator
c. Verification of insurance and benefits
HRJD.070
d. Patient co-insurance amount
e. Arrival time for surgery
3. Follow SSH guidelines for making financial arrangements with patients
4. Review all necessary forms: comment card, pain management brochure, advance directives, and privacy policy (HIPAA)
5.
Employee Signature
Date
D. Martin 1-2013 Approved by: Human Resources
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