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Community Wide Scheduler | 40 hours per week | Patient Access - West Burlington

Community Wide Scheduler | 40 hours per week | Patient Access - West Burlington

Great River HealthWest Burlington, IA, US
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Community Wide Scheduler

Minimum Hiring Wage : From $18.89 per hour

Job Details : Scheduled hours : Monday - Friday 8 : 00am - 4 : 30pm

Job Description

A Brief Overview

The Community Wide Scheduler coordinates and manages scheduling services across various departments and locations to optimize patient care and resource utilization. This role involves scheduling appointments, patient registration, coordinating with clinical teams, confirming patient demographics and insurance information (including verifying and / or obtaining insurance prior authorizations), collecting payments, compliance with all state and federal regulations, managing patient data with accuracy and confidentiality, and ensuring all necessary information is communicated to patients and staff. The Scheduler is responsible for effectively communicating with clinical staff, addressing patient inquiries or concerns, maintaining accurate records, monitoring appointment availability, and make adjustments to meet patient needs. This role requires proficient organizational skills, attention to detail, effective communication, the ability to manage multiple tasks in a fast-paced environment and the ability to handle high volumes of scheduling requests while delivering exceptional customer service.

What You Will Do

  • Coordinate and manage scheduling services across multiple departments and locations to enhance patient care and resource efficiency.
  • Schedule appointments for patients while considering clinical team availability and patient preferences and prepare and send appointment reminders and follow-up communications to patients.
  • Register patients accurately, ensuring all required information is collected and documented.
  • Collaborate with clinical teams to coordinate schedules and facilitate smooth work flow.
  • Confirm patient demographics and insurance details, including reviewing, validating, obtaining, and / or securing insurance prior authorizations, as needed.
  • Collect payments, including co-pays and outstanding balances, and process them accurately.
  • Ensure compliance with all state and federal regulations related to patient scheduling and data privacy.
  • Manage patient data with a high degree of accuracy and maintain confidentiality at all times.
  • Communicate necessary information to patients and staff, including appointment details and instructions.
  • Address and resolve patient inquiries, concerns, or complaints promptly and courteously.
  • Maintain accurate and up-to-date records of appointments, cancellations, and reschedules.
  • Monitor appointment availability and make proactive adjustments to meet patient and organizational needs.
  • Handle a high volume of scheduling requests while maintaining efficiency and attention to detail.
  • Provide exceptional customer service, ensuring a positive experience for patients and internal teams.
  • Verify insurance benefits and eligibility to facilitate smooth billing and claims processing.
  • Troubleshoot scheduling conflicts and coordinate solutions with clinical and administrative staff.
  • Educate patients on scheduling policies, pre-appointment requirements, and available resources.
  • Collaborate with administrative and clinical staff to optimize scheduling processes and improve patient flow.
  • Maintain an organized and efficient work environment, ensuring that all scheduling tools and systems are up to date.
  • Verify provider orders to ensure all requirements are met, including accuracy, completeness, and compliance with organizational policies and external regulations. Confirm and validate orders from outside providers (Conversion Physicians) to ensure proper documentation and authorization.

Qualifications

  • H.S. Diploma or General Education Degree (GED) Preferred
  • 1-3 years Previous healthcare experience Preferred
  • 1-3 years Medical Background and / or Medical Terminology Preferred
  • Technical Skills : Proficiency in using electronic medical record (EMR) systems and scheduling software.
  • Communication Skills : Excellent verbal and written communication skills, with the ability to interact professionally with patients, staff, and healthcare providers.
  • Customer Service : Proficient commitment to providing high-quality customer service and ensuring a positive patient experience.
  • Organizational Skills : Exceptional organizational and time management skills, with the ability to prioritize and handle multiple tasks in a fast-paced environment.
  • Attention to Detail : High level of accuracy and attention to detail when handling patient information and scheduling.
  • Problem-Solving : Ability to identify and resolve conflicts and other issues efficiently.
  • Interpersonal Skills : Ability to work collaboratively as part of a healthcare team and maintain a professional and courteous demeanor.
  • Regulatory Knowledge : Familiarity with HIPAA regulations and other healthcare privacy and security requirements.
  • Insurance Knowledge : Understanding of insurance verification processes, good faith estimates, and prior authorizations.
  • Adaptability : Flexibility to adapt to changes in scheduling needs and department priorities.
  • Computer Proficiency : Competence with Microsoft Office Suite (Word, Excel, Outlook) and general computer skills.
  • Multitasking : Ability to manage a high volume of requests and administrative tasks simultaneously.
  • Emotional Intelligence : Demonstrated ability to handle sensitive and confidential information with discretion.
  • Work Ethic : Reliable, punctual, and committed to maintaining a high standard of work.
  • Prior Authorization Requirements for WB / FM Campuses

  • Coordinate with healthcare teams to ensure timely submission of authorization requests and minimize delays in patient care and maintain detailed and accurate records of all prior authorization requests, approvals, denials, and follow-ups.
  • Monitor and update knowledge of insurance policies, authorization criteria, and payer requirements and educate patients and healthcare staff on authorization processes and requirements when needed.
  • Analyze and improve authorization work flows to optimize resource utilization and reduce turnaround times.
  • Respond promptly to inquiries or concerns related to prior authorizations, resolving issues or escalating when necessary.
  • Handle a high volume of authorization requests while maintaining efficiency and attention to detail.
  • Review and send clinical documentation to insurance companies when appropriate.
  • Benefits

    We are excited to offer an aggressive compensation and benefits package for qualifying positions, which includes :

  • Competitive base pay
  • Matching retirement programs
  • Health, Dental and Vision plans
  • Health Savings and Flexible Spending Accounts
  • Employee discounts including car rental, cell-phone plans
  • Employer-paid, Long-Term Disability, Life, and AD&D
  • Paid time off (PTO)
  • Education Assistance Program
  • Employee Assistance Program
  • Employee Referral Bonus Program
  • Discounted cafeteria meals
  • Paid Parental Leave
  • Employee Service Recognition program
  • Voluntary plans including : Life, AD&D, Short-Term Disability, Critical Illness, Accident, Insurance, and Hospital Indemnity
  • Great River Health and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.

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    Scheduler • West Burlington, IA, US

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