Senior Receptionist, Patient Scheduler - Rowan-Virtua Som - Stratford

SUMMARY:

Responsible for patient scheduling, registration and all functions related to the facilitation of patient visits/care within the Faculty Practice Plan at SOM. Performs duties in a high customer service manner and provides patient and family centered service, always putting the needs of the patient/family first during encounters.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following:

Represents image of the practice to patients, community and institution through personal and telephone contact with an emphasis on high customer service. Receives, greets, directs and /or escorts patients, family members/visitors, and physicians as appropriate, in a friendly and courteous manner.

Coordinate with other scheduling areas both within and outside of Rowan SOM and/or insurance carriers to facilitate patient navigation including, but not limited to, scheduling of patient appointments, referrals or authorizations.

Obtains and verifies (or confirms that automated verification was received) accurate demographic and insurance information. Ensures all information is updated and accurate in patient management software during each patient visit Notifies coordinator/manager of any problem with obtaining complete registration information.

Collects co-payments and monies (account balances) due at time of service. Posts payment into system and logs all payments received. Reconciles monies on hand with payment batch listing at end of session/day. Prepares deposit, daily reconciliation worksheet and charge batch for manager’s review.

Issues referrals, checks referrals for completeness and correctness of information and issued accurately within 48-72 hours of request, urgent request accommodated as needed.

Ensures all patients are capitated to the practice prior to the visit, and help patients locate their primary or to facilitate a change to a Rowan SOM primary care provider as requested (only applies to PCP practices).

Responds to any request within limits of qualifications and/or refers request to appropriate staff member in a timely manner.

Answers multi-line telephone system using appropriate telephone etiquette, is courteous and helpful, correctly triages calls or takes a complete and accurate message, schedule appointments following established guidelines. Provides information in accordance with patient confidentiality standards.

Makes calls to confirm appointments, verifies correct insurance and billing information prior to appointment and makes appropriate notes in the system as needed.

Review daily reports from automated reminder service and make the appropriate schedule changes. Records all cancellations and no-shows. Contacts no-show patients to reschedule per the departmental guidelines.

Responsible for scheduling ancillary services, pre-certification/authorizations, schedule future follow up appointments and provide the patient with an appointment reminder card.

Handles recall appointments and assist manager with quality measure projects.

Performs time of service charge entry and resolve coding issues. Checks encounter forms or other billing documentation for completeness and accuracy.

Initiate notification to appropriate party(s) of potential duplicate patient accounts.

Resolve/correct patient registration and scheduling issues as defined by Revenue Cycle quality initiatives within the stated timeframes for front end edits and rejections.

Encourage patients to complete the patient satisfaction survey per Faculty Practice Plan guidelines.

Perform “End of Day” and next day preparation activities per Faculty Practice Plan guidelines.

QUALIFICATIONS:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EDUCATION and/or EXPERIENCE:

High School graduate or equivalent. Minimum of two (2) years of experience with scheduling systems and/or front desk. Experience in a medical setting is preferred. Knowledge of medical terminology, third party reimbursement, CPT and Diagnosis coding, and basic computer skills preferred. The following should be demonstrated: ability to work independently, excellent communication and organizational skills, ability to multi-task in a fast-paced medical practice setting and flexibility is required. Equivalent education, experience and/or training may be substituted for the degree requirement.

NOTES:

• Only completed, online applications submitted on or before the deadline will be considered.
• Candidates must be legally authorized to work in the US, and the university will not sponsor an applicant for a work visa for this position.