Senior Scheduling Specialist(Remote)

The Senior Scheduling Specialist position, reviews outpatient physician orders to determine and verify that orders are valid and match scheduled appointments, when applicable, screens and schedules patients appropriately via incoming and outbound calls with patients and/or physician office representation, and provides professional pre-registration services for our patients, physician’s community, and facility representation. . This position will support our Shared Services Center and client hospitals by providing top-notch customer service, the accuracy of appointment scheduling to our patients, supported physician community, and hospitals and provides a high-quality point of service collections, financial counseling, demographic verification, and insurance review.

Essential Duties and Responsibilities: (List in order of importance or percentage of time spent on the particular responsibility. High to Low)

• Provide professional, accurate, and timely Pre-Registration functions. Provide a high level of quality of customer service while maintaining effective communication with the patients, physician’s community, and facility representation. (15%)
• Secure acceptable financial arrangements, as applicable. Should acceptable arrangements not be made, effectively communicating with appropriate facility with required information needed to make an informed decision. Accurately process payments within web based application. (10%)
• Use advanced knowledge of Pre-Arrival functions to lead process improvement initiatives and workgroup(s) specifically in relation to Order Mgmt, Centralized Scheduling, and Pre-Registration service lines. (10%)
• Schedule patient appointments via phone and/or fax in a timely, effective, and courteous manner by maximizing the patients’ appointments by scheduling multiple services on the same day, if/when possible and appropriate. (20%)
• Maintain working knowledge of patient estimate portions via estimation tool and perform outreach to patient prior to the scheduled appointment to verify patient demographics and notify the patient of their patient responsibility. (20%)
• Responsible to maintaining performance standards and ensures the department is operating at peak proficiency and that the established goals are consistently met. (5%)
• Responsible for screening patient orders appropriately via electronic order repositories and when necessary, perform effective communication, written and/or oral to physician office representation to request updated order if order is not a match to the scheduled appointment or is deemed invalid, as per CSM guidelines. (20%)

Qualifications

Required Education: High School Graduate or Equivalent

Required Experience: Minimum 2 years within Benefit Verification Department and/or 2+ years of medical office, healthcare facility, or other Revenue Cycle experience

Required License/Registration/Certification: None

Preferred License/Registration/Certification: Certified Professional Coder (CPC), Certified Healthcare Access Associate (CHAA), or Certified Healthcare Access Manager (CHAM)

Reasoning Ability

Ability to problem-solve, collect data, establish facts, and draw valid conclusions. Have the ability to interpret benefit information and provide education to patients as well as estimate patient responsibility based on information provided.

Computer Skills

Working knowledge of Microsoft Office Suite products, basic typing skills and 10–key entry. Maintain working knowledge and understanding of scheduling applications, registration systems, electronic order repository applications, Medical Necessity, insurance authorization protocols, departmental scheduling guidelines and testing protocols to ensure accurate scheduling, and any additional systems/workflows pertaining to their job role