Job Description
Job Description
ABOUT THE COMPANY :
Richmond Gastroenterology Associates, Inc. (RGA) has been serving the greater Richmond community since the late 1970s. We provide superior service at every encounter, every day. We are Passionate about Prevention.
COMPENSATION & BENEFITS :
RGA is an Equal Employment Opportunity employer. We value our employees' time and talent, and offer a competitive compensation and benefits package for full-time employees, which includes medical, dental, vision, basic and optional life insurance, long-term disability, flexible spending accounts, health savings account, 401(k) profit sharing, paid holidays, paid time off, tuition reimbursement, a competitive salary and an enjoyable work environment.
ABOUT THIS POSITION :
The Scheduler plays a vital role in the medical practice and in many respects, is the "voice of the company." This position requires excellent interpersonal skills, impeccable telephone etiquette, a friendly and outgoing personality, and the ability to multi-task in a fast-paced healthcare environment.
ESSENTIAL JOB DUTIES :
The Essential Job Functions are :
- Answers and triages incoming calls as appropriate while routinely checking and responding to Voicemail Messages within designated time periods.
- Frequent documentation of patient records
- Schedules New and Follow-Up Office / Telemedicine Appointments, Endoscopic Procedures, and diagnostic tests if instructed. Completes all scheduling processes as required including but not limited to pre-procedure questionnaires, initiated cardiac clearances, and mailing preparation instructions.
- Initiates and / or completes Patient Registration process. Creates, updates, and verifies patient account information in Electronic Health Record, including Insurance, Mailing Address, Phone Numbers, Email Address, Primary Care Provider (PCP) and Referring Provider (if different from PCP). Runs eligibility check for insurance prior to scheduling.
- Contacts patients referred to Richmond Gastroenterology as assigned, following proper procedure.
- Thoroughly documents all relevant patient medical history and information in electronic health records (EHR), and follows defined pre-procedure protocols, including communications to Providers when necessary.
- Initiates and communicates with RGA Billing Department all requests for insurance referrals, deductible, and pre-certification / pre-authorizations, as per Policy / Procedure.
- Communicates and collaborates with other team members including RGA Clinical Teams, Billing Department, Administrative Team, PCP and referring providers for continuity of care.
- Manages and completes all relevant and applicable tasks and queues in HER.
- Reports any concerns, patient complaints, or connectivity disturbances to Operations Manager as necessary. Reaches out to Operations Manager as a resource for questions pertaining to Policy, Procedures, and Scheduling.
Responsibilities related to compliance and work habits :
Upholds patient confidentiality, HIPAA, and OSHA rules and regulationsResponsible for compliance and adherence with any necessary infectious disease policies, regulations, and guidelines as mandated by local, state, and / or federal regulationsMaintains a safe work environmentTimely completion of all compliance training and testingResponsibilities related to company mission, culture, and engagement :
Actively engage in RGA C.A.R.E.S. - Compassion, Accountability, Respect, Empowerment, and ServiceActively participate in achieving the company's Mission, that being to optimize the health of our patients and community by providing compassionate, state of the art care to adults with digestive and liver diseaseAdhere to the company's Code of Conduct, to conduct business with honesty, integrity, and in an appropriate manner for services provided, while ensuring that its business arrangements comply with relevant state and federal statutes and regulationsConsistently work on ways to engage our patients, improve their care experience and maintain strong relationships with referring physician offices and other referral sources. Create an environment of trust and healthy working relationships.Exemplify a "can-do" attitude and commitment to excellenceQUALIFICATIONS & CERTIFICATIONS :
Must have excellent communication skills, verbal and written, proper use of grammar, spelling, punctuationAbility to adapt to changing healthcare environment and lead by exampleExceptional customer service and communication skills, verbal and writtenKnowledge of insurance carrier requirements and correct coding proceduresAbility to multi-task in a fast-paced environmentAbility to learn and navigate multiple computer programs at once, including EHRMENTAL AND PHYSICAL REQUIREMENTS :
Ability to work well under pressure with diverse groups of professionals and physiciansAbility to multi-task in a fast-paced environment, which may include frequent interruptionsMust demonstrate sensitivity to cultural differences within team and communityWork may involve prolonged periods of sitting, standing, reaching and the ability to push or pull items weighing 30 pounds or less.Required to operate computer keyboard, mouse, and monitorThe above description is meant to describe the essential functions of the position. Workflow expectations may change from time to time. This job description is not meant to capture every step or every change in the Medical Scheduler's daily workflow.