Central Scheduler II

Capital Health (US); Pennington (NJ); On-site; USD 28,000 - 36,000; Full time

Benefits offered by this job

Medical Plan

Dental Plan

Vision Plan

FSA

Retirement Savings Plan

Paid Time Off

Job summary

Capital Health is seeking a detail-oriented Scheduling/Pre-Registration Clerk to handle patient scheduling for diagnostic tests and to pre-register patients efficiently. The role requires navigating multiple systems, ensuring pre-certifications are obtained, and collaborating with physician offices to secure accurate codes.

The successful candidate will excel in a high-volume setting with strong communication skills.

Qualifications

• Education: High school diploma or equivalent.
• Experience: One year call center experience assisting patients within a hospital or medical environment.
• Knowledge: Medical terminology; CPT and ICD-10.
• Mental, behavioral and emotional abilities: Ability to multitask in a fast-paced environment.

Responsibilities

• Schedules hospital outpatient tests using multiple systems and pre-registers patients.
• Obtains and advises patients of necessary pre-certification and referrals for financial reimbursement.
• Collaborates with physician offices to obtain updated scripts and compliant diagnosis codes.
• Schedules cases while negotiating date and time and avoiding resource conflicts.
• Verifies all authorizations twenty-four hours before date of service.

Skills

Customer service

Call center experience

Communication skills

Multi-tasking

Education

High school diploma

Tools

Medical terminology

Job description

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a dynamic health care resource accredited by the DNV that includes two hospitals, an outpatient center, satellite ED, and an expansive network of primary and specialty care. Capital Health Medical Group is made up of more than 600 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region.

Capital Health recognizes that attracting the best talent is key to our strategy and success as an organization. As a result, we aim for flexibility in structuring competitive compensation offers to ensure we can attract the best candidates.

The listed pay range or pay rate reflects compensation for a full-time equivalent (1.0 FTE) position. Actual compensation may differ depending on assigned hours and position status (e.g., part-time).

Pay Range

$20.10 - $26.13

Scheduled Weekly Hours

40

Position Overview

SUMMARY (Basic Purpose of the Job):
Schedules and pre-registers patients for diagnostic tests accurately and efficiently in conformance with applicable guidelines to facilitate quality patient care. Handles a large volume of incoming calls and navigates between multiple systems to schedule various departments.

Minimum Requirements

Education: High school diploma or equivalent.

Experience: One year call center experience assisting patients within a hospital or medical environment required.

Knowledge and Skills: Displays strong customer service and communication skills to properly assist patients' needs. Strong attention to detail.

Special Training: Working knowledge of medical terminology; CPT and ICD-10.

Mental, Behavioral and Emotional Abilities: Ability to multi-task and navigate between systems simultaneously. Ability to handle a large volume of incoming calls. Manages time and works well in a fast-paced environment.

Essential Functions

• Schedules hospital outpatient tests using multiple systems. Pre-registers all patients. Obtains and advises patients of necessary pre-certification and referrals for financial reimbursement.
• Adheres to departmental procedures for online scheduling and STAT processes.
• Collaborates with physician offices to obtain updated scripts and compliant diagnosis codes.
• Collaborates with physician's office to schedule cases while negotiating date and time and avoiding resource conflicts.
• Gathers complete patient and testing information and enters data accurately into database. Obtains and advises patients of all necessary pre-certification and referrals needed for financial reimbursement.
• Completes MSP form timely and accurately. Understands and utilizes the necessary software program to determine "medical necessity" prior to scheduling a Medicare patient.
• Informs all patients of pre-registration process and pre-registers all patients.
• Acts as a liaison for hospital departments and physician practices.
• Ensures that all appropriate staff, patients, departments, and external resources are notified of additions, changes, and cancellations.
• Verifies all authorization are obtained twenty-four hours before date of service. Follows out of network procedures.
• Adheres to CH attendance policy as well as interdepartmental policies and procedures. Attends all mandatory departmental meetings.
• Performs all other duties as assigned.

Physical Demands And Work Environment

• Frequent physical demands include: Sitting
• Occasional physical demands include: Standing , Walking , Climbing (e.g., stairs or ladders) , Carry objects , Push/Pull , Twisting , Bending , Reaching forward , Reaching overhead , Squat/kneel/crawl
• Continuous physical demands include: Wrist position deviation , Pinching/fine motor activities , Keyboard use/repetitive motion , Talk or Hear
• Lifting Floor to Waist 15 lbs. Lifting Waist Level and Above 10 lbs.
• Sensory Requirements include: Accurate Near Vision, Accurate Far Vision, Accurate Depth Perception, Accurate Hearing
• Anticipated Occupational Exposure Risks Include the following: Bloodborne Pathogens , Airborne Communicable Disease , Dust/Particulate Matter

This Position Is Eligible For The Following Benefits

• Medical Plan
• Prescription drug coverage & In-House Employee Pharmacy
• Dental Plan
• Vision Plan
• Flexible Spending Account (FSA)
• Healthcare FSA
• Dependent Care FSA
• Retirement Savings and Investment Plan
• Basic Group Term Life and Accidental Death & Dismemberment (AD&D) Insurance
• Supplemental Group Term Life & Accidental Death & Dismemberment Insurance
• Disability Benefits – Long Term Disability (LTD)
• Disability Benefits – Short Term Disability (STD)
• Employee Assistance Program
• Commuter Transit
• Commuter Parking
• Supplemental Life Insurance
• Voluntary Life Spouse
• Voluntary Life Employee
• Voluntary Life Child
• Voluntary Legal Services
• Voluntary Accident, Critical Illness and Hospital Indemnity Insurance
• Voluntary Identity Theft Insurance
• Voluntary Pet Insurance
• Paid Time-Off Program

The pay range listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining base salary and/or rate, several factors may be considered including, but not limited to location, years of relevant experience, education, credentials, negotiated contracts, budget, market data, and internal equity. Bonus and/or incentive eligibility are determined by role and level.

The salary applies specifically to the position being advertised and does not include potential bonuses, incentive compensation, differential pay or other forms of compensation, compensation allowance, or benefits health or welfare. Actual total compensation may vary based on factors such as experience, skills, qualifications, and other relevant criteria.