Scheduler-Full Time-Days

Summary

The Scheduler obtains and / or verifies demographic, clinical, financial, and insurance information in the process of appointment making for patient tests and procedures, pre-registering and financial clearing for service delivery.

The incumbent validates medical necessity (LMRP / LCD review) of Medicare and Non-Medicare cases to ensure clinical and financial clearance.

Additionally, the incumbent obtains and processes signed physician orders to ensure clinical documentation for care delivery.

The incumbent conducts online insurance eligibility / benefit verification, pre-certification / authorization, referral clearance and financial education on designated cases.

As appropriate, the incumbent notifies patient / guarantor and collects patient liabilities, and refers appropriate cases to resource counseling for follow-up and consultation.

One to two years (1-2) insurance / clerical experience within a hospital or medical office setting. Medical Terminology required within one year of employment.

Must pass pre-employment testing and post-training testing. Must pass and maintain the Certified Healthcare Access Associate (CHAA) exam within one year of employment.

Must have knowledge of insurance and collection of payments. Must have experience with Microsoft software. Must possess excellent verbal and written communication skills, customer service skills and problem solving abilities.

Must be multi-skilled with the ability to appropriately handle complexity and stress with the changing needs of the patients, families, visitors, and the Health System.

May be required to periodically rotate shifts and regular days off. All system employees must have the flexibility to meet the department hours of operation.

Must be able to communicate orally, see, and hear to collect information. Must have dexterity to operate office equipment.

Position operates in an office, call center environment. Work area is well-lit, temperature controlled and free from hazards.

The incumbent is subject to eyestrain due to the many hours spent looking at a CRT screen. The noise level is low to moderate.

Answers telephone calls, uses personal computer and other business machines extensively. Bends, reaches, pushes and pulls file drawers to file records and reports.

Regularly lift or move up to 10 pounds, frequently lift or move up to 25 pounds and occasionally lift or move up to 50 pounds.

Required Licenses and Certifications

Cape Fear Valley Health System is an Equal Opportunity Employer M / F / Disability / Veteran / Sexual Orientation / Gender Identity