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Precertification Specialist / Scheduler (Glenwood Springs Office)

Company: Aspen Valley Hospital
Location: Snowmass
Posted on: April 24, 2019

Job Description:

Aspen Valley Hospital offers a variety of benefits and opportunties to Employees. This position is located in our Glenwood Springs office, and is a Full Time position Monday through Friday 8 hours a day. As a full time Employee, you are elgible for our extensive benefits packages including Paid Time Off, Medical, Dental, # Vision benefits.# Job Summary: The precertification specialist # scheduler assists in scheduling patient appointments#for all clinical service departments using Meditech Scheduling and B/AR module, and to act as liaison between Hospital departments to effectively coordinate scheduling of tests and procedures.# Responsible for pre-authorization function to assure accurate and timely payor information and fiscal responsibility.# Accurately schedules appointments, choosing appropriate appointment types, and correct data entry. Professional # responsive communication with physicians, patients, and departments. Mammo - interviews # schedules patients using:# symptoms/screening, Insurance/Komen or other Grants, implants, # requests for previous films. Assist Breast Liaison with follow-up. Keeps current on all grant criteria # requirements Works with other PFS staff to ensure fiscal management of appointments. Stays current on Medicare # insurance requirements, ensuring ABN#s # insurance waivers # pre-certs are completed # communicated to patient # scanned Complies with all Hospital, patient confidentiality, ABN#s and insurance waivers. Participates in trainings # staff meetings. Reads daily summary reports # emails to be aware of changes. Fiscal responsibility including reviewing and completing ABN#s, Insurance authorizations/waivers, and ensuring completed precertification as needed. Schedules and pre-certifies all Physical Therapy patients-at all AVH locations.# Reviews and monitors CAP requirements and ABN#s for Medicare patients.# Pre-certify and/or check for MCR ABN on all patients with scheduled lab tests-at all AVH locations. As above does all pre-certification, insurance authorizations and waivers, required ABN#s and CAPS. KNOWLEDGE, SKILLS # ABILITIES # # EDUCATION/EXPERIENCE REQUIREMENTS # ######### High School graduate or GED preferred ######### 2-3 years of experience in related healthcare field preferred # KNOWLEDGE AND SKILL REQUIREMENTS # ######### Ability to concentrate and show attention to detail ######### Relatively high degree of analytical abilities ######### Strong interpersonal skills required ######### Ability to work independently LANGUAGE SKILLS # ######### Ability to read and communicate effectively in English ######### Spanish preferred # WORKING CONDITIONS # ######### Normal patient care environment with little exposure to excessive noise, dust and temperature ######### May be exposed to communicable diseases through normal or careless performance of responsibilities ######### May be exposed to mechanical dangers associated with mechanical devices ######### May be exposed to stressful situations # # # DESCRIPTION OF PHYSICAL DEMANDS # PHYSICAL DEMANDS # On-the-job time is spent in the following physical activities.# ########################################################################## - Percent of Time- Stand:####################################################################### 10% Walk:######################################################################## 10% Sit:############################################################################ 80% Talk or hear:############################################################# 99% Use hands to finger, handle or feel:######################## 100% Push or pull:############################################################# 10% Stoop, kneel, crouch or crawl:################################## 10% Reach with hands and arms:##################################### 10% Taste or smell:########################################################## 00% # This job requires that weight be lifted or force be exerted. ####################################################################################### - Yes/ No - Up to 10 pounds:######################################################## yes## Up to 25 pounds:######################################################## yes## Up to 50 pounds:######################################################### no### Up to 100 pounds:####################################################### no### More than 100 pounds:################################################ no### # This job has vision requirements as follows:############# - Yes/No - Clear close vision:###################################################### yes# Clear distance vision:################################################## yes# Depth perception:####################################################### yes# Three-dimensional vision; ability to judge ## distances and spatial relationships:######################## yes Ability to adjust eye to bring an object into ## sharp focus:############################################################ yes Specific demands not listed: WORK ENVIRONMENT # Job requires exposure to the following environmental conditions: ######################################################################################### -Yes/No - Wet, humid conditions (non-weather):######################### no### Work near moving mechanical parts:########################## yes## Fumes or airborne particles:######################################### no### Toxic or caustic chemicals:########################################## no### Outdoor weather conditions:######################################## no### Extreme cold (non-weather):######################################## no### Extreme heat (non-weather):######################################## no### Risk of electrical shock:############################################## yes## Work with explosives:################################################# no### Risk of radiation:######################################################### no### Vibration:##################################################################### no### # Hearing ability required for work environment is:### - Yes/No - Ability to hear alarms on equipment:########################## yes## Ability to hear patient call:########################################## yes## Ability to hear instructions clearly:############################# yes## # ################################################################################## - Hi/Med/Lo - The typical noise level for the work environment is:########### med## # Repetitive Motion Actions############################# - Percent of Time - Repetitive use of foot control:################################### 00%### Repetitive use of hands:########################################## 100%## Grasping - simple/light:############################################ 80%## Grasping - firm/heavy:############################################### 2%## Fine dexterity:######## 50% ##

Aspen Valley Hospital offers a variety of benefits and opportunties to Employees. This position is located in our Glenwood Springs office, and is a Full Time position Monday through Friday 8 hours a day. As a full time Employee, you are elgible for our extensive benefits packages including Paid Time Off, Medical, Dental, & Vision benefits.

Job Summary:

The precertification specialist & scheduler assists in scheduling patient appointments for all clinical service departments using Meditech Scheduling and B/AR module, and to act as liaison between Hospital departments to effectively coordinate scheduling of tests and procedures. Responsible for pre-authorization function to assure accurate and timely payor information and fiscal responsibility.

* Accurately schedules appointments, choosing appropriate appointment types, and correct data entry. Professional & responsive communication with physicians, patients, and departments.
* Mammo - interviews & schedules patients using: symptoms/screening, Insurance/Komen or other Grants, implants, & requests for previous films. Assist Breast Liaison with follow-up. Keeps current on all grant criteria & requirements
* Works with other PFS staff to ensure fiscal management of appointments. Stays current on Medicare & insurance requirements, ensuring ABN's & insurance waivers & pre-certs are completed & communicated to patient & scanned
* Complies with all Hospital, patient confidentiality, ABN's and insurance waivers. Participates in trainings & staff meetings. Reads daily summary reports & emails to be aware of changes.
* Fiscal responsibility including reviewing and completing ABN's, Insurance authorizations/waivers, and ensuring completed precertification as needed.
* Schedules and pre-certifies all Physical Therapy patients-at all AVH locations. Reviews and monitors CAP requirements and ABN's for Medicare patients. Pre-certify and/or check for MCR ABN on all patients with scheduled lab tests-at all AVH locations. As above does all pre-certification, insurance authorizations and waivers, required ABN's and CAPS.

KNOWLEDGE, SKILLS & ABILITIES

EDUCATION/EXPERIENCE REQUIREMENTS

* High School graduate or GED preferred
* 2-3 years of experience in related healthcare field preferred

KNOWLEDGE AND SKILL REQUIREMENTS

* Ability to concentrate and show attention to detail
* Relatively high degree of analytical abilities
* Strong interpersonal skills required
* Ability to work independently

LANGUAGE SKILLS

* Ability to read and communicate effectively in English
* Spanish preferred

WORKING CONDITIONS

* Normal patient care environment with little exposure to excessive noise, dust and temperature
* May be exposed to communicable diseases through normal or careless performance of responsibilities
* May be exposed to mechanical dangers associated with mechanical devices
* May be exposed to stressful situations

DESCRIPTION OF PHYSICAL DEMANDS

PHYSICAL DEMANDS

On-the-job time is spent in the following physical activities.

* Percent of Time-

Stand: 10%

Walk: 10%

Sit: 80%

Talk or hear: 99%

Use hands to finger, handle or feel: 100%

Push or pull: 10%

Stoop, kneel, crouch or crawl: 10%

Reach with hands and arms: 10%

Taste or smell: 00%

This job requires that weight be lifted or force be exerted.

* Yes/ No -

Up to 10 pounds: yes

Up to 25 pounds: yes

Up to 50 pounds: no

Up to 100 pounds: no

More than 100 pounds: no

This job has vision requirements as follows: - Yes/No-

Clear close vision: yes

Clear distance vision: yes

Depth perception: yes

Three-dimensional vision; ability to judge

distances and spatial relationships: yes

Ability to adjust eye to bring an object into

sharp focus: yes

Specific demands not listed:

WORK ENVIRONMENT

Job requires exposure to the following environmental conditions:

* Yes/No -

Wet, humid conditions (non-weather): no

Work near moving mechanical parts: yes

Fumes or airborne particles: no

Toxic or caustic chemicals: no

Outdoor weather conditions: no

Extreme cold (non-weather): no

Extreme heat (non-weather): no

Risk of electrical shock: yes

Work with explosives: no

Risk of radiation: no

Vibration: no

Hearing ability required for work environment is: - Yes/No -

Ability to hear alarms on equipment: yes

Ability to hear patient call: yes

Ability to hear instructions clearly: yes

* Hi/Med/Lo -

The typical noise level for the work environment is: med

Repetitive Motion Actions - Percent of Time -

Repetitive use of foot control: 00%

Repetitive use of hands: 100%

Grasping - simple/light: 80%

Grasping - firm/heavy: 2%

Fine dexterity: 50%

Keywords: Aspen Valley Hospital, Snowmass , Precertification Specialist / Scheduler (Glenwood Springs Office), Administration, Clerical , Snowmass, Colorado

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