Patient Scheduler, Community Wide Scheduling

You Matter Here!

Heywood Healthcare values our employees! We offer competitive wages, great benefits and generous earned time off. Come work where you will matter!

Hours: 24 Hours, Days/Evenings, Monday - Friday

Job Summary

Schedules patient appointments for all ancillary departments, responsible for obtaining accurate demographic and insurance data as well as authorizations. Works in a call center environment that experiences high volume calls and faxes. Conducts telephone interviews with patients and/or their insurer. Makes payment arrangements when necessary.

Essential Functions

Schedules appointments accurately following department guidelines.

When assigned to MRI duties, completes in an accurate and complete manner.

Ensures complete, accurate and current demographic, financial and other information for all patients scheduled for the hospital prior to patients appointment.

When conducting the phone interview with patient or conversations with the patient’s payer, concerns are raised regarding the patients insurance coverage or ability to meet the financial obligations for the scheduled visit the scheduler will notify the manager.

Print work list on each shift to ensure deadlines are met for verifications, pre-registrations, patient notifications and delivery of patient packets to clinical areas.

Facilitates the pre-verification process by taking appointments from the scheduling module, verifying the patient’s information via telephone (if the patient has not been to the hospital within the same calendar month) and changing the account to a pre-registration status.

Correctly spells all information, especially diagnosis on all documents.

Completes updates accurately and completely, without disruption of telephone activity

Attends a minimum of 8 department staff meetings per year.

Immediately notifies supervisor of any backlogs or obstacles that prevent completion of assigned duties.

Job performance reflects compliance with Heywood’s performance standards; telephone etiquette, providing directions and first impressions.

When assigned to outpatient registration, accurately and expediently registers patients following department policies and procedures regarding insurance verification, collection of co payments, etc.

When assigned sleep study duties, completes in an accurate and complete manner.

Upon making a scheduled appointment, ensures authorization is in place before appointment is scheduled. Immediately notifies MD office if authorization is needed or inaccurate.

When assigned to up coding and down coding, does so in a timely manner to ensure proper payment for Heywood Hospital.

Refers uninsured patients to GHAP office when insurance coverage is not present/active.

Accurately compiles daily, weekly, and monthly data and statistics as requested.

Maintains current knowledge of rules and regulations of insurance payers so that regulations are met, and patients get enrolled in financial assistance if needed.

Assists manager, as directed, in the training of new employees regarding scheduling processes in an accurate and complete manner

Checks orders for accuracy, signature, date and diagnosis.

Contributes to the design, development, and maintenance of systems that help the department run efficiently.

Blocks appointments for ancillary departments and reschedules/notifies patients of change.

Reflects a positive attitude in daily work. Is receptive, cooperative, committed and optimistic.

When assigned to cover the switchboard operations, performs all job duties assigned to this position.

Adheres to hospital and department dress codes.

Responds cooperatively to staffing needs by demonstrating flexibility in work schedule or assignments.

Statement of Other Duties

This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described.

Functional Demands

Physical Requirements

Exerts up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. Frequently reaches (extending hands and arms in any direction), and handles (seizing, holding, grasping, turning, or working with hands).

Organizational Expectations

Behavioral Attributes

The following behavioral attributes are required: achievement motivation, flexibility, concern for order, initiative, self-confidence, self control, customer service orientation, interpersonal effectiveness, teamwork and information seeking.

Job Requirements

Minimum Education

Formal training beyond high school diploma preferred

Minimum Work Experience

Medical terminology, spelling competence and computer experience essential.

Referral and/or third party experience billing preferable.

Required Skills

Excellent communication skills and the ability to perform multiple tasks with minimal supervision is essential.

Must be able to deal effectively and courteously with the public, physicians and all hospital personnel in a high volume setting.