Clinic Scheduler: Radiology

Pioneers Medical Center; Colorado; On-site; USD 27,290 - 30,996; Full time

Job summary

Pioneers Medical Center is seeking a Full-Time, non-exempt Appointment Scheduler in Colorado. The role involves scheduling procedures, verifying insurance, obtaining pre-authorizations, and explaining benefits to patients.

The ideal candidate has experience in appointment scheduling, knowledge of medical terminology and billing (ICD-10, CPT, HCPCS), and a professional, confidential demeanor. The job emphasizes excellent customer service and adherence to PMC policies and HIPAA.

Qualifications

• Previous experience in appointment scheduling preferred.
• Knowledge of medical terminology and billing practices, including ICD-10, CPT, and HCPCS codes preferred.

Responsibilities

• Receive requests to schedule procedures and schedule them according to department calendars after pre-authorization.
• Verify insurance eligibility and benefits information.
• Obtain pre-authorization information for procedures and fax clinical information as directed.
• Discuss third-party coverage with patients and arrange payment of out-of-pocket amounts.
• Explain insurance benefits, deductibles, and co-insurance to patients.
• Provide an estimate of procedures or services to patients.
• Discuss payment options and billing process with patients.
• Ensure patients have information needed for timely arrival and prepare paperwork for Registration staff.
• Document information on accounts where action has occurred and maintain communication with departments.
• Participate in education activities, staff meetings, and in-services; provide excellent customer service.
• May be cross-trained with other duties; other duties as assigned.

Skills

Appointment scheduling

Medical terminology

Insurance billing

HIPAA compliance

Education

High School Diploma

Job description

FLSA CLASSIFICATION: Full-Time, Non-exempt Hourly $19.81 - $22.50

ESSENTIAL FUNCTIONS

- Receive requests to schedule procedures, and schedule them according to the schedules of various departments after pre-authorization is obtained.
- Verify insurance eligibility and benefit information via various software vendors or by calling the insurance companies.
- Obtain pre-authorization information for procedures. Fax clinical information as directed.
- Discuss third party coverage with patients and arrange for collection of out-of-pocket amounts.
- Explain in detail insurance benefits, deductibles, co-insurance, etc, to patients.
- Provide an estimate of procedure or service for patients.
- Discuss various payment options and the billing process with patients.
- Ensure patients have all of the information they need so they arrive on time prepared for the procedure.
- Ensure Hospital Registration staff are provided with the appropriate paperwork prior to the patient’s service.
- Document appropriate information on accounts on which action has taken place.
- Maintain open communication with hospital departments regarding any schedule changes.
- Actively participate in education activities, staff meetings, and in-services as required.
- Provide excellent customer service at all times.
- May be cross trained with other duties.
- Other duties as assigned.

EDUCATION AND EXPERIENCE

- Previous experience in appointment scheduling preferred.
- Knowledge of medical terminology and billing practices, including ICD-10, CPT, and HCPCS codes preferred.

SKILLS AND EXPECTATIONS

- Kind and professional demeanor.
- Professional and well-groomed appearance at all times.
- Communicate positively and effectively, both written and verbally, with patients, family, and staff.
- Demonstrate effective organizational skills in an evolving environment.
- Work with honesty, compassion and integrity at all times.
- Understand and adhere to the scope of service for the department and this position.
- Understand and adhere to all of PMC’s policies and procedures.
- Understand and adhere to PMC’s Code of Conduct.
- Adhere to the strictest confidentiality and HIPAA regulations.
- Demonstrate a commitment to building and sustaining a diverse, inclusive, and equitable working environment.
- Ability to remain calm and efficient in emergency situations.
- Demonstrate strong problem-solving skills.
- Demonstrate strong emotional intelligence.

PHYSICAL REQUIREMENTS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable
accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing this job, the employee:

- Must be able to remain in a stationary positon 50% of the time.
- Must be able to move and traverse about the facility 50% of the time.
- Frequently transport objects weighing up to 50lbs
- Occasionally position objects weighing up to 100lbs.
- Must be able to communicate and exchange information in a way others will understand.
- Must be able to recognize details such as color and depth within a few feet of the observer.
- Frequently operates computers, machinery, and other healthcare equipment.
- Constantly positions self to complete essential functions.
- May be required to wear N95s or PAPRs throughout the shift.

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.