HCA, Hospital Corporation of America Team Lead - Medicare and Scheduling Services in Chattanooga, Tennessee
_Parkridge Medical Center – Chattanooga, TN_
Parkridge Medical Center has served the community for nearly 40 years. Over the years, we have built a reputation for advanced technology and compassionate care, making us a hospital of choice for patients seeking quality treatment in the community. From our comprehensive cardiac services program to orthopaedics and oncology care at The Sarah Cannon Cancer Center at Parkridge, we are proud to be one of Chattanooga’s best hospitals for healing. Parkridge Medical Center was the first hospital in the area to offer robotic surgery, and features the area’s most knowledgeable and experienced robotic surgery team. The Parkridge Medical Center Emergency Department is an Accredited Chest Pain Center, making it a natural choice for those suffering from cardiovascular events when every minute matters.
Parkridge *is currently looking for aFull-Time Team Lead for Medicare and Scheduling Services*to oversee the daily operations of its central scheduling department.
Hours are typically Monday - Friday, 8:00 - 4:30 depending on coverage needs of the department.
_JOB SUMMARY _
Review of scheduled Medicare patient orders to ensure the appropriate diagnosis is listed to meet Medicare Coverage guidelines. Supports the Scheduling Department as a Team Lead to ensure all daily duties are completed timely. Knowledge of Medicare and commercial insurance coverage guidelines and requirements required.
SUPERVISES -All team members in the Central Scheduling unit to include but not limited to the Schedulers, Pre-service Nurse and Billing staff.
_SPECIFIC JOB DUTIES_ * Daily review of scheduled Medicare patient accounts to ensure the order meets Medicare Coverage guidelines for payment of the service to be rendered. * Assign the appropriate diagnosis and procedure codes to orders to run the order through the verification software. * Communicate with MD offices as needed for corrected orders. * Run and write out the 3 day pre-cert report. Which will include faxing MD offices for pre-cert information, calling for clinical notes to be faxed and calling insurance companies to see if a pre-cert is required. * Work with the Central Scheduling Manager to bill out claims for the Parkridge Professionals Billing services. * Act as a Coordinator of all duties in the Central Scheduling Department. * Be the go to person for all team members to help get resolution to a work product problem if management is unavailable. * Ensure that all duties are performed daily and make decisions based on staffing if reduced work product needs to happen.
- Knowledge of Managed Care and Medicare Coverage guidelines
- Strong Customer Service and multi-tasking skills
- Communicates clearly and concisely, verbally and in writing
- Able to work effectively with other employees, patients and external parties.
- Strong problem-solving skills. Ability to anticipate problems and work effectively to resolve issues.
- Knowledge of medical terminology and computer-literate.
- CPC, CPC-H, RHIT/RHIA certified preferred
- At least two years work experience interacting with patients, physician offices, and managed care agencies.
Title: Team Lead - Medicare and Scheduling Services
Location: Tennessee-Chattanooga-Parkridge Medical Center
Requisition ID: 00031-11848