Scheduler

Job Description

The Enhanced Scheduler is responsible for registering and scheduling patients at Intermountain Healthcare facilities system-wide ensuring that processes and procedures exceed customer expectations.

This position enhances the patient experience with one telephone call to schedule and register for services. The Enhanced Scheduler reviews insurance benefit information, estimated costs, and payment options with the patient.

Also obtains or reviews all necessary demographic, clinical, procedural, and prep information with the patient or representative.

This position also enhances the Provider experience by offering a single point of contact for the referring offices. The Enhanced Scheduler acts as a liaison between the physician office and facility departments across multiple service lines within the

1.Maintains the surgery schedule, providing necessary information to patients andphysicians.

2. Coordinates, registers and schedules appointments for patients according to availability.

3. Conducts patient pre-certification on proper insurance approval for appointments and medical care.

4. Ensures all pre-operative required tests needed prior to surgery, are scheduled and completed.

5. Coordinates and ensures necessary equipment is ordered, room availability / scheduled, pre-surgery medication, etc. is arranged prior to scheduled procedure.

6. Communicates detailed information and answers patients' questions regarding surgery preparation instructions, arrival / departure instructions relative to procedure.

7. Schedules any necessary follow-up appointments, as directed by physicians.

8. Receives and screens calls relating to problems that may arise due to date changes and any reasons for cancellation.

9. Escalates non-routine issues to the practice manager or physician.

10. Greets patients. Answers phones, takes messages, returns calls and provides needed information, while documenting all phone calls accurately and completely in the electronic medical record (EMR).

11. Schedules patient appointments for visits, procedures, diagnostic tests, referrals and / or consultations.

12. Registers patients. Confirms, enters, and / or updates all required demographic data on patient and guarantor on registration system.

Follows procedures when identifying patients.

13. Obtains copies of insurance card(s), forms of ID, and signature(s) on all required forms. Verify information on appropriate accounts to determine insurance coordination of benefits, pre-certification / prior-authorization.

Complete the Medicare Secondary Payer (MSP) questionnaire when applicable. Verifies insurance to determine coordination of benefits and obtains authorization and / or referrals as required.

Screens for non-covered services and waiver of liability (ABN) through automated screening at time of service.

14. Informs self-pay patients of liability due and prepayment requirements. Prepare estimate of procedures, calculates advance payment requirements on previous or bad debt and current balances.

Refer potentially eligible patients to financial counseling and / or contract eligibility vendor(s). Refer complex or non-compliant patient financial issues to Clinic Manager or Revenue Service Center.

15. Collects patient payments and provides accurate receipt. Posts payments in system. Reconciles receipts with cash collected and complete required balancing forms.

Documents patient account notes for all interactions / transactions.

16. Maintains department and / or individual work queues and reports as required.

17. Prepares medical records for patient appointments by compiling information from various sources to include authorizations and non-Epic documentation.

Accurately scans medical records as required for Medical Group or specialty office.

18. Promotes mission, vision, and values of SCL Health, and abides by service behavior standards.

19. Performs other duties as assigned.

Minimum Qualifications

Required

High school diploma or equivalent is required

Two (2) years related experience in a health care organization is required

Preferred

To perform this job successfully, an individual must be able to perform each essential dutysatisfactorily. The requirements list must be representative of the knowledge, skills, minimum education, training, licensure, experience, and / or ability required.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Regular attendance to perform work on site during regularly scheduled business hours or scheduled shifts is required

2. Demonstrate understanding of health insurance, medical costs, medical terminology.

3. Excellent customer skills, in person and via telephone.

4. Strong communication skills.

5. Proficient computer skills.

6. Possess a strong work ethic and a high level of professionalism.

7. A team player who handles multiple projects simultaneously in a fast paced environment.

Physical Requirements :

Minimum Qualifications : Medical billing experience Preferred Qualifications : Professional coding (CPT, ICD, HCPCS) experienceRoot cause analysis experience Physical Requirements Interact with others requiring the employee to communicate information.

Operate computers and other office equipment requiring the ability to move fingers and hands. See and read computer monitors and documents.

Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment.

Anticipated job posting close date :

09 / 18 / 2024

Location :

Platte Valley Hospital

Work City : Brighton

Brighton

Work State : Colorado

Colorado

Scheduled Weekly Hours :

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$ - $

We care about your well-being mind, body, and spirit which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits packages for our Idaho, Nevada, and Utah based caregivers, and for our Colorado, Montana, and Kansas based caregivers;

and our commitment todiversity, equity, and inclusion.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.