Coord Scheduling

South Shore Health System; South Weymouth (MA); On-site; USD 38,000 - 48,000; Full time

Job summary

South Shore Health System is seeking a detail-oriented patient access specialist to schedule services, pre-register patients, and handle pre-certifications and insurance verifications. The role emphasizes accurate data entry, effective communication with providers, and a strong focus on customer service.

Responsibilities include coordinating appointments, managing denials, and ensuring patients are educated about tests and prep requirements, while using hospital systems to support operational

Qualifications

• Associates degree preferred.
• 2-5 years experience in Patient Registration, Billing dept., Scheduling dept., or MD offices.
• Knowledge of medical terminology.
• Telephone experience required.
• Strong Computer Skills
• Customer Service experience required.
• Insurance Third party requirements.
• Ability to work under pressure.

Responsibilities

• Books appointments for services by telephone or fax and reschedules as needed.
• Pre registers all patients for scheduled appointments.
• Verify benefits and complete pre-certifications and eligibility checks.
• Interact with provider offices and insurers for authorization processes.
• Maintain 98% accuracy in demographic verification and data entry.

Skills

Patient Scheduling

Pre-registration

Insurance Verification

Customer Service

Phone & Fax Booking

Computer Skills

Education

Associates degree preferred

Tools

PICIS OR Manager

VERA phone system

NEHEN/Passport reports

Electronic Health Records

Job description

Job Description Summary

Under the direction of the Practice Manager, is responsible for patient scheduling, pre–registration , insurance authorization and precertification for the scheduled services.

Job Description

ESSENTIAL FUNCTIONS

• 1 - Books appointments for services at South Shore Hospital (SSH). Booking may be done with the patient, physician or physician staff and may be done by telephone or fax.
  • a - Is able to re-schedule/cancel patients in the computer, if required.
  • b - Will insure that patient has an understanding of test and any preps that are necessary.
  • c - Is efficient using PICIS OR Manager
  • d - Schedules for most departments within the hospital according to hospital standards.
  • e - Schedule off site appointments for wound clinic, Stetson and 780 Main treatment rooms.
  • f - Pre register all patients for scheduled appointments
  • g - Able to run and work off of applicable reports.
  • h - Provide quality customer service to internal and external customers.
• 2 - Responsible for all pre-certification,eligibility and verification of benefits on all accounts.
  • a - Insures that all accounts are processed with less than 5 denials per year.
  • b - Can follow downtime process effectively.
  • c - Retrieves authorizations as necessary
  • d - Interacts with provider office/insurance companies for the authorization process
  • e - Verifies all insurance eligibility according to hospital standard
• 3 - Can register meeting the department standard of 98% accuracy rate.
  • a - Verify demographic information on all patients
  • b - Pre register all patients that call for scheduled appointments
  • c - Ensure that all necessary information is obtained from the patient
• 4 - Technology – Embraces technological solutions to work processes and practices.
  • a - Able to function using department computer programs.
  • b - Able to function and have a complete understanding of computer downtime process.
  • c - Able to review and analyze NEHEN and Passport programs.
  • d - Manage own API system.
  • e - Able to utilize the phone system, including VERA system.
• 5 - Safety Awareness – Fosters a “Culture of Safety” through personal ownership and commitment to a safe environment.
  • a - Adheres to patient identification policies/procedures.
  • b - Adheres to universal precautions and respiratory etiquette guidelines.
  • c - Understands individual roles/responsibilities during hospital codes (e.g. Code Disaster, Code Red).

JOB REQUIREMENTS

Minimum Education - Preferred

Associates degree preferred.
Life experiences considered

Minimum Work Experience

2-5 years experience in Patient Registration, Billing dept., Scheduling dept., or MD offices.

Required additional Knowledge, and Abilities

Knowledge of medical terminology.
Telephone experience required.
Strong Computer Skills
Customer Service experience required.
Insurance Third party requirements.
Ability to work under pressure.
Works independently/make decisions on their own.
Can function as part of a team.