Job description
Adventist Health Lodi Memorial, one of the region’s premier nonprofit healthcare providers, comprises a 190-bed hospital, 17 medical practice locations and wellness programs. Since we opened our doors in 1952, we have been committed to those who seek our care. Through the decades, Lodi Memorial became not just a hospital, but a pillar for the surrounding community and the people whose pasts and families are intertwined with the organization.
Job Summary:
Facilitates patient medical and financial clearance using medical and healthcare knowledge, clinical judgment, and communication skills to assist in resolving difficulties surrounding patient access, authorization of services and coordination of scheduled programs. Applies substantial knowledge of the job and experience to complete a wide range of activities with varying difficulty. Regularly works with sensitive and confidential information, often involving the interpretation of policies and procedures to guide use.
Job Requirements:
Education and Work Experience:
- High School Education/GED or equivalent: Preferred
- Associate’s/Technical Degree or equivalent combination of education/related experience: Preferred
- Two years' healthcare experience: Preferred
Essential Functions:
- Coordinates and schedules patient care for all wellness programs. Facilitates communication between patient scheduling staff and all user departments, physicians, physician office staff, patient clients.
- Answers telephone inquiries regarding physician referrals and covers front desk duties when needed. Maintains patient scheduling data base.
- Collaborates with patient financial services (PFS) to ensure appropriate authorizations are obtained in accordance with PFS policy and procedure. Submits documentation for retro-authorization as appropriate, files and appeal for denial of services.
- Develops monthly Wellness newsletter, updating website and developing promotional flyers. Actively participates in training. Performs other duties as assigned by department leadership.
- Performs other job-related duties as assigned.
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