Administrative Consultant III providing strategic administrative support to Sutter Health executives. Leading initiatives and managing projects for organizational growth and efficiency.
About the role
- Performing administrative duties for patient scheduling and urgent care appointments in a health care setting. Managing patient demographics and ensuring compliance with insurance guidelines.
Responsibilities
- Greets visitors and/or patients for scheduled and/or urgent care appointments and procedures.
- Confirms and verifies patient demographic and insurance information.
- May collect co-payments from patients upon arrival.
- Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information.
- Assess patients’ needs, including but not limited to, financial counseling, interpreter services, social services and refers to appropriate person or area.
- Receives and directs phone calls.
- Connects the patient’s call to the provider or responds to the patient and takes messages as directed.
- Schedules urgent care appointments as needed and directed by clinicians.
- Schedules patients for treatment by multiple providers and treatment areas, and arranges a variety of associated tests and procedures according to established guidelines and specific criteria.
- Prioritizes appointments in a manner that fosters optimum patient care, efficient utilization of clinical staff, as well as resources.
- Ensures tests and procedural prep information is provided to patients verbally, mail, and/or by the patient portal as necessary.
- Collaborates with insurers to obtain patients’ prior-authorizations for procedures and tests as needed.
- Follows guidelines established by insurers to ensure that pre-authorization, pre-certification, and clinician referrals for treatment are obtained prior to patient visits.
- Complies with referral management regulations.
- Verifies eligibility for procedures or tests from various health care institutions.
- Follows up to correct discrepancies.
- May facilitate patient prescription renewal matters, (via telephone, fax, and email), within scope of authority as directed by clinicians.
- Preps the patient’s information for clinicians for scheduled patient visits as needed.
- Scrubs Patient Encounter information and submits electronically.
- Reviews and audits billing discrepancy reports and researches errors for resolution as directed by office or clinical management.
- Maintains accurate and timely records, logs, charges, files, and other related information as required.
- Performs a variety of related administrative and clerical duties, such as retrieving files distributing mail and other records, faxing, collating, data entry, and relaying messages to clinicians, residents and staff.
- May prepare special reports or spreadsheets for clinicians as requested.
- Collects co-payments from patients for visits, maintains records or makes daily cash deposits from patient visits.
- Calculates daily totals of co-payments received for submission to the second tier for co-payment reconciliation.
- Composes, or selects standard form letters for clinician’s response to routine inquiries and procedures, such as back-to-school authorizations.
Requirements
- High School Diploma
- 3 years of related experience, this requirement is waived if candidate has Associate’s or Bachelor’s degree
- Requires the ability to use specialized applications software and computer systems
- Necessitates individuals who are multifunctional and able to work under stressful situations
- Exemplifies professional behavior and excellent communication and human relations skills
- Knowledge of business office procedures and medical terminology/procedures preferred.
Benefits
- This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process.
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