Scheduling Specialist

5 days ago

Goldsboro, United States UNC Health Care Full time

Job Description

Description

Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.

Summary:
The Pre- Arrival Authorization Specialist I will serve patients/customers and physician offices by obtaining authorizations from insurance payers prior to services been scheduled or rendered at UNC Health Wayne for outpatient & inpatient visits. Obtains insurance information that will be verified via websites, telephone, or the Electronic Health Record (EHR). Electronic referrals, patient accounts issues and/or questions related to billing and insurance needs will be worked/addressed in a timely manner. Prepares documents to fax or mail out to insurance payers to complete and obtain the pre-certifications/authorizations. Documents communication in the EHR and updates referral statuses. Acts as a representative to complete referrals and financial information which serves the patient/customer population within UNC Health Wayne scheduled appointments and admissions.


Responsibilities:
1.Performs coverage discovery efforts to verify coverage.
2.Runs RTE to verify all insurance payers electronically; call insurance companies as needed.
3.Initiates the authorization/precertification process for referrals in Epic.
4.Update the referral status and auth/cert status in EPIC.
5.Acknowledge and responds to requests for authorizations and retro authorizations.
6.Escalate matters/scheduled accounts that require attention to Pre-Arrival Team Lead/Manager.
7.Notify Utilization Review & Case Management regarding any admissions that need Clinical Review.
8.Review/Sign/Commit to the Patient Access Work Standards approved by Human Resources
9.Review the Patient Access Weekly Huddle Minutes to ensure updates/changes are communicated for work processes, EPIC changes, Department Meetings, Training Classes, ETC.
10.Abides by the UNC Health Wayne - Referral Management & Financial Clearance Collections Policies.
11.Uses professional customer service in all patient and teammate interactions.


Other information:
Education
High School graduate or equivalent required.

Licensure/Certification
None required.

Experience
Prior experience with Preauthorization‘s/Customer Service, dealing with the public and/ or healthcare organization is strongly preferred. Computer literate. Office equipment use and knowledge such as fax machines,10 key calculators, printers, copiers, etc.

Knowledge, Skills and Abilities
*Demonstrated analytical, customer service, and interpersonal skills.
*Strong organizational skills & good attention to details.
*Must have knowledge of Medicare/Medicaid and Commercial Insurance payers.
*Ability to prioritize and multi-task.
*Ability to read, write and communicate effectively in English.
*Proficient with MS Office and Epic with the ability to to learn new software rapidly. Previous Electronic Health Record EPIC preferred experience.
*Able to work with deadlines and within timelines.
*Telephone etiquette.
*Must have effective oral and written English communication skills to communicate in a clear and concise manner with patients, physicians, public, teammates and administration.
*Will always portray a professional public image.
*Ability to complete authorizations/precertification‘s within deadlines.
*Ability to Follow-up with patient accounts to obtain retro authorizations.

Valid NC Driver‘s License: No
If driving a Wayne UNC Vehicle, must be 21 years old and MVR must be approved by Risk Management.


Job Details

Legal Employer: Wayne Health

Entity: Wayne UNC Health Care

Organization Unit: Admitting

Work Type: Full Time

Standard Hours Per Week: 40.00

Work Assignment Type: Hybrid

Work Schedule: Day Job

Location of Job: WAYNE MED

Exempt From Overtime: Exempt: No



  • Caregiver Specialist

    5 days ago

    Goldsboro, North Carolina, United States All Ways Caring HomeCare Full time

    All Ways Caring HomeCare is a leading provider of home-based care services, seeking a skilled Caregiver Specialist to join our team. As a key member of our caregiving team, you will play a vital role in delivering compassionate care to clients in the comfort of their own homes.Our organization prides itself on its commitment to providing exceptional care and...

  • Freelance Delivery Specialist

    11 hours ago

    Goldsboro, North Carolina, United States DoorDash Full time

    **Company Overview:**DoorDash is a leading food delivery and logistics company, connecting local businesses with opportunities to earn, work, and live.**Salary:** $18-$25 per hour, based on experience and location.**Job Description:**As a Freelance Delivery Specialist for DoorDash, you will be responsible for delivering food from local restaurants to...

  • Ultrasound Diagnostic Specialist

    3 days ago

    Goldsboro, North Carolina, United States UNC Health Care Full time

    About Our OrganizationAt UNC Health Care, we strive to improve the health and well-being of our unique communities. With over 40,000 teammates, we are committed to making a positive impact through our work.Job SummaryWe are seeking an experienced Ultrasound Diagnostic Specialist to join our team. As a key member of our healthcare team, you will be...

  • Clinical Mental Health Specialist

    5 days ago

    Goldsboro, North Carolina, United States Frontera Search Partners Full time

    About the OpportunityWe are seeking a licensed clinical mental health specialist to provide behavioral health examinations for veterans. The ideal candidate will have a doctoral degree in psychology from an American Psychology Association (APA)-accredited institution and be licensed to practice in at least one state.Job SummaryThe licensed clinical mental...

  • Cosmetic Skincare Specialist

    5 days ago

    Goldsboro, North Carolina, United States US Derm Support Roles Full time

    We are seeking a skilled Cosmetic Skincare Specialist to join our team at US Derm Support Roles in Goldsboro, NC.The estimated annual salary for this position is $50,000 - 65,000, depending on experience.About the RoleThis role involves providing exceptional customer service and promoting cosmetic products and services. The ideal candidate will have...

  • Medical Specialist

    17 hours ago

    Goldsboro, United States Ironman Staffing Medical Services, Inc. Full time

    Job OverviewWe are seeking a qualified Medical Specialist to join our team at Ironman Staffing Medical Services, Inc. in Goldsboro, North Carolina.About the RoleThis full-time Direct Hire position offers an excellent opportunity for a dedicated and experienced Nurse Practitioner to provide high-quality patient care in a dynamic environment.The successful...

  • Clinical Care Specialist

    2 days ago

    Goldsboro, United States PHH+, a Team Select Home Care Company Full time

    About the RoleWe are seeking a skilled Registered Nurse to join our team as a Clinical Care Specialist. In this role, you will provide one-on-one direct nursing care in the home with medically complex clients of all ages.Job ResponsibilitiesReview and implement care plans in accordance with client needsProvide medication management and administrationMonitor...

  • Home Health Nurse Specialist

    6 days ago

    Goldsboro, North Carolina, United States IntelliChoice Home Care Full time

    About the RoleAs a Home Health Nurse Specialist with IntelliChoice Home Care, you will play a vital role in providing one-on-one nursing care to critical and complex clients in their homes. This position requires a dedicated and compassionate individual who can focus on trach and/or vent patients of all ages.Key ResponsibilitiesDeliver high-quality,...

  • Diagnostic Ultrasound Specialist

    1 day ago

    Goldsboro, North Carolina, United States UNC Health Care Full time

    Ultrasound Tech Role at UNC Health CareWe are seeking an experienced Diagnostic Ultrasound Specialist to join our team at UNC Health Care. As a key member of our healthcare team, you will be responsible for performing diagnostic ultrasound procedures and interpreting results to aid in the diagnosis and treatment of patients.Job SummaryPerform diagnostic...

  • Mechanical Operations Specialist

    4 days ago

    Goldsboro, North Carolina, United States Monroe Staffing Full time

    Packaging Equipment Lead Position at Monroe StaffingWe are seeking a skilled Mechanical Operations Specialist to join our team in Goldsboro, NC. This full-time position is responsible for setting up, operating, and maintaining production equipment in a large food manufacturing plant.About the Role:Leading maintenance operations for assigned production...

  • Mobile Healthcare Specialist

    6 days ago

    Goldsboro, North Carolina, United States Travel Nurses, Inc. Full time

    About the RoleWe are seeking a skilled Mobile Healthcare Specialist to join our team as a Travel Ultrasound Technologist. This is a fantastic opportunity to work in various healthcare settings and locations across the country.Job SummaryThis is an exciting role for a remote Ultrasound Professional who is eager to travel and experience new environments while...

  • Nurse Care Specialist

    18 hours ago

    Goldsboro, North Carolina, United States UNC Health Full time

    At UNC Health, we strive to improve the health and well-being of diverse communities. As a Nurse Care Specialist in our School Health program, you will play a vital role in providing quality care to students.About the RoleThis full-time position offers 32 hours per week with a standard day job schedule. You will be based at Wayne Medical Center, working...

  • Travel Nurse Med Surg

    8 hours ago

    Goldsboro, North Carolina, United States AHS Staffing Full time

    AHS Staffing is a renowned healthcare recruitment agency dedicated to delivering personalized experiences for travel nurses. We strive to match talented professionals with assignments that align with their personal and professional goals.Job SummaryWe are currently seeking a skilled Travel Nurse RN Med Surg / Telemetry specialist to join our team in North...

  • Diagnostic Imaging Specialist for Travel Assignment

    3 days ago

    Goldsboro, North Carolina, United States TotalMed Allied Full time

    TotalMed Allied is seeking a highly skilled Diagnostic Imaging Specialist to join our team for a travel assignment in North Carolina. This 13-week contract offers a unique opportunity to showcase your expertise in ultrasound technology while working with a leading healthcare provider.About the Role:Provide high-quality diagnostic imaging services using...

  • Diagnostic Imaging Specialist

    9 hours ago

    Goldsboro, North Carolina, United States Nurse First Full time

    Nurse First, a renowned travel nursing agency, is seeking a skilled Diagnostic Imaging Specialist to join their team for a 13-week assignment in North Carolina.About the AssignmentThis exciting opportunity offers a unique chance to work as an Ultrasound Technologist in a dynamic healthcare setting. As a key member of the imaging team, you will be responsible...

  • Intensive Care Nurse Specialist

    6 days ago

    Goldsboro, North Carolina, United States UNC Wayne Health Full time

    Job Title: Intensive Care Nurse Specialist - 13 Week Assignment in North CarolinaOverview:UNC Wayne Health seeks an experienced Registered Nurse for a 13-week assignment in Goldsboro, NC. As an Intensive Care Nurse Specialist, you will be responsible for providing high-quality patient care to adult patients with various medical, surgical, and cardiopulmonary...

  • EC Compliance/Program Specialist

    5 days ago

    Goldsboro, United States Wayne County Public Schools Full time

    Position Type: Exceptional Children/EC Teacher Date Posted: 4/18/2024 Location: Exceptional Children`s Department Compliance/Program Specialist for Exceptional Children's Program ESSENTIAL JOB FUNCTIONS Monitors the status of referrals and reevaluations throughout the eligibility and placement stages Provides assistance to IEP Teams as needed regarding...

  • Critical Care Nurse

    7 hours ago

    Goldsboro, North Carolina, United States UNC Health Wayne Full time

    About the JobWe are seeking a skilled Critical Care Nurse - Telemedicine Specialist to join our team at UNC Health Wayne. As a key member of our nursing staff, you will be responsible for providing high-quality patient care in a fast-paced telemedicine environment.Job SummaryThe successful candidate will have extensive experience working in critical care and...

  • IT Technical Support Specialist

    2 months ago

    Goldsboro, United States Prolec Energy Full time

    JOB SUMMARY The IT Technical Support Specialist is responsible for designing, organizing, modifying, and supporting Prolec GE Waukesha corporate computer hardware and software systems. In addition, this position fulfills the role of mentor to other team members, to accelerate their development. Candidates will need to be able to quickly acquire new skills...

  • Critical Care Nurse Specialist

    5 days ago

    Goldsboro, North Carolina, United States OneStaff Medical Full time

    OneStaff Medical, a leading provider of travel nursing solutions, is seeking an experienced Critical Care Nurse Specialist to join their team in a dynamic Progressive Care Unit environment.About the OpportunityWe are offering a 13-week contract with a guaranteed 48 hours per week, providing our candidate with a stable and predictable schedule. The shift will...