PRENATAL PEDS SCHEDULER

Schedules, pre-certifies, verify and documents procedure for Children's Hospital Fetal Medicine Institute

Works with parents, referring Maternal and Fetal Medicine offices, and other CNMC departments to schedule patients in a timely manner.

Assures that registrations and insurance information are correct. Verifies guardianship / custody issues that might arise.

Qualifications : Minimum Education

Minimum Education

High School Diploma or GED (Required)

Minimum Work Experience

3 years Progressive experience performing patient registration and scheduling, medical insurance verification, preferably in a physician's office as a receptionist or in a customer service environment. (Required)

Required Skills / Knowledge

Must be proficient in Cerner, Passport, STAR, and other CNHS registration systems. Must be able to learn and become proficient in the MADAMS database system utilized by the Fetal Medicine division.

Excellent verbal, interpersonal, consumer relations and telephone skills required.

Must answer all incoming calls and avoid messages going to voicemail. Must respond to phone calls promptly and with courtesy and respect.

Must have proficient knowledge of medical insurance verification procedure, insurance screen and financial counseling, billing and healthcare business operations, as well as working knowledge of CPT4 / ICD9 coding.

Must be able to multi-task and have knowledge of medical terminology.

Functional Accountabilities

Patient Service Activities- Registration and Scheduling

• Process patient Pregnancy / Fetal Plan of Care from Physicians, Nurse Practitioners and Genetic Counselors.
• Confirm and correct computer aided, on-line registration with parent / guardian via telephone or in person in courteous and consumer-orientated manner;

collect personal and insurance information.

• Discuss co-payment, deposits or payment in full requirements with parents prior to scheduled appointment; counsel parent or refer parent to Medlaw for financial counseling or establishing payment schedule.
• Contact and verify insurance company in a timely manner to pre-certify procedure, document pre-certification notes in STAR registration system and MADAMS database;

contact MFM's for referrals and or H&P's as needed.

Schedule various diagnostic tests using RadNet; call parent / guardian to schedule procedures and appointments for both prenatal and postnatal patients, work with both the specialty physicians 's and parent's schedules, as well as, possibly other physician's schedules for joint procedures;

schedule patients for an appointment with physician, nurse practitioner or genetic counselor; send parent a confirmation letter of procedure / appointment as well as other information relating to the fetal medicine experience.

• Coordinate appointments and / or procedures with other departments per patient needs; follow-up with each parent / patient until clinic visits are scheduled.
• Send delivery letters to outside MFM's and pediatricians after each patient visit. Must verify that all patient visit reports are completed.

MADAMS System Management

Post detailed notes into MADAMS database utilizing the policy guidelines; maximize the Fetal Medicine Institute room block time utilization;

confirm cases with the physicians and care coordinators .

Contact system managers immediately when problems occur.

Confirmation of Procedures

• Assure that a registration for the appointments and diagnostics are in Cerner, STAR, and MADAMS systems at least two days prior to date of procedure or clinic visit.
• Confirm with parent / guardian; facilitate consents for patients who are wards of the state / district.
• Confirm that there is a Consent, Pregnancy Plan of Care and History & physical form for patients; log in above information into MADAMS database retrieve any rescheduled patients' from referral logs promptly, to ensure no delay on the day of service.

Peer Support

• Provide expertise and help to other schedulers.
• Share new insurance notifications and changes with the schedulers and managers.
• Immediately notify care team by email, of any cancellations and add-on cases.

Safety

• Speak up when team members appear to exhibit unsafe behavior or performance
• Continuously validate and verify information needed for decision making or documentation
• Stop in the face of uncertainty and takes time to resolve the situation
• Demonstrate accurate, clear and timely verbal and written communication
• Actively promote safety for patients, families, visitors and co-workers
• Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance

Organizational Accountabilities