Clerical/Administrative/ Clinical Support/ Customer Service/Patient Access

Job Category:

Scheduler

Primary Shift:

Work Schedule:

After-hours / Weekends

Variable to Dept Needs

Location:

Philadelphia and Delaware County Offices

Employment Type:

Full-Time Regular / Part Time / Per Diem

Position Description

Job Summary

The Scheduler works collaboratively with other clinical staff and administration to ensure that quality patient care is delivered. The Scheduler performs all scheduling, registration, and insurance verification functions.

Required Education/Experience

  • High School graduate or equivalent

  • Bilingual in English and Spanish required

  • Previous registration and/or insurance verification experience preferred

  • Knowledge of medical terminology

  • Excellent oral and written communication skills

  • Highly organized, efficient work habits

  • Sound analytical, problem solving and planning skills

  • Demonstrated ability to interact with a variety of individual in a calm, professional manner

Minimum Requirements

Skills and Abilities

  • Good Computer Skills.  Ability to learn all software applications

  • Customer-focused communication skills (verbal/written) required.

  • Organizational skills with exceptional attention to detail required.

Minimum Certifications, Registry, and/or Licenses Required

N/A

Duties and Responsibilities

  • Conducts comprehensive patient interviews by obtaining accurate information such as Social Security Number, name, address, phone number, guarantor data and phone number, third party payer, etc., while verifying applicable information via on-line software.

  • Ensure complete accuracy when scheduling patients’ including informing patients of all required information

  • Verify availability for each request using the current scheduling system.

  • Maintains and protects the patient’s confidentiality in accordance with Health Insurance Portability and Accountability Act (HIPAA) regulations.

  • Verifies eligibility and benefits and obtains authorizations/pre-certifications, and referrals when applicable

  • Communicate with various insurance companies to ensure CPT and ICD codes are utilized on requested authorizations / pre-certifications.

  • Accurately completes documentation as necessary

  • Scans necessary documentation into Patient Record

  • Exemplifies customer service by answering phones and interacting with patients, staff, clinicians and visitors in a timely and pleasant manner

  • Accepts changes in assignment in the spirit of good teamwork; accepts constructive feedback about performance or behaviors; demonstrates creative thinking and problem solving relating to issues or concerns.

  • Assign patients to clinicians

  • Manage clinician’s schedule and coverage

  • Manage 24 hr. phone line