Scheduling and Authorization Coordinator - RMA

• Thoroughly completes the insurance verification process to ensure the accuracy of insurance information.
• Obtains insurance authorizations, referral, and treatment consults as needed for all scheduled patients prior to receiving services.
• Obtains benefit coverage from insurance companies and accurately enters information into the appropriate computer system.
• Obtains diagnosis information and/or CPT code from the physician/office or the outpatient department, as necessary for completing the insurance authorization process.
• Maintains proficiency in the various systems utilized during insurance verification and authorization process including various on-line payor eligibility programs.
• Monitors appropriate work lists to ensure timely insurance verification processing.
• Maintains documentation necessary for compliance with state, federal, and other regulatory agency requirements.
• Maintains proficiency in the various systems utilized during insurance verification and authorization process including various on-line payor eligibility programs.

• Schedules all types of complex exams with attention to detail.
• Ability to manage high outbound and inbound calls to schedule patients for imaging services to ensure the best possible customer service by properly educating the patient on exam preparation and answering questions.
• Screens and verifies all HIPAA information to ensure accuracy with scheduling and speaking with patients, patients approved representatives and or physicians.
• Schedules and documents notes in hospital and ElevatePFS® operating systems.

• Monitors and manages the e-mail inbox or fax machine for assigned practices throughout the day.
• Works any requests received via e-mailed or fax.
• Checks and responds to voicemails.
• Creates, maintains and monitors log of patients and procedures scheduled for assigned physician practices.
• Monitors appropriate work lists to ensure timely insurance verification processing.
• Utilizes multiple commuter application, scheduling software, network, drives to schedule multiple exams within multiple modalities and entities across the hospitals system.

• Effectively communicates operational activities and issues with Supervisor and Manager.
• Interfaces courteously and effectively with internal and external customers. Must consistently present a positive departmental and organizational image, as well as commitment to departmental goals, objectives, standards, policies and procedures.
• Demonstrates proficiency within assigned area of responsibility and a general understanding of the entire Patient Access process.
• Adheres to the hospitals and until level policies and procedures and safeguards set forth by each facility.
• Identifies and recommends process improvements for RMA services.
• Other duties as assigned.

• High school diploma or GED
• Associate degree or 2+ years in patient scheduling, registration, or healthcare billing is preferred
• Over one (1) year working in a customer service or client relations type role
• Office or hospital environment experience is preferred
• High volume call center experience is preferred
• Strong Literacy (grammar, spelling, math)
• Strong Microsoft Products experience, including word, excel, outlook, windows
• Familiarity with HCA/Parallon IT systems is preferred
• Strong sales and customer service skills
• Excellent interviewing and telephone communication skills
• Outstanding interpersonal and people‑oriented skills
• Excellent written and verbal communication abilities
• Ability to communicate assertively and professionally while maintaining confidence and credibility.
• Strong analytical, problem‑solving, and decision‑making skills
• High level of organization, attention to detail, and time management
• Ability to multitask and prioritize effectively in a fast‑paced environment
• Proven ability to work independently with minimal supervision
• Strong stress management and adaptability skills
• Goal‑driven with a strong action and results orientation
• Demonstrates initiative, persistence, and a strong work ethic
• Team‑oriented with the ability to collaborate effectively
• Flexible and adaptable to changing priorities
• High standards of honesty, integrity, and professionalism
• Profit‑ and performance‑oriented mindset
• Remote and hybrid positions require internet connectivity that meet the Company’s upload and download requirements.

• Medical, Dental & Vision Insurance
• 401K (100% match for the first 3% & 50% match for the next 2%)
• 15 days of PTO
• 7 paid Holidays
• 2 Floating holidays
• 1 Elevate Day (floating holiday)
• Pet Insurance
• Employee referral bonus program
• Teamwork: We believe in teamwork and having fun together
• Career Growth: Gain great experience to promote to higher roles

High school diploma or GED; 1+ year customer service experience; strong Microsoft Office skills; excellent communication and organizational skills; ability to work independently; remote internet connectivity meeting company requirements.

Key Responsibilities

• verifying insurance
• scheduling exams
• managing calls

Skills & Tools

Microsoft Word, Microsoft Excel, Microsoft Outlook, Microsoft Windows

Job Details

• Category: Customer Service
• Seniority: Entry Level
• Commitment: Full Time
• Workplace: Remote — United States
• Languages: English

Benefits

• 401k matching
• Generous paid time off
• Retirement plan

About Elevate Patient Financial Solutions

A healthcare financial solutions company providing scheduling and authorization services. — Industry: Healthcare