Patient Access Scheduler

Saint Anthony Hospital; Chicago (IL); On-site; USD 36,000 - 57,000; Full time

Job summary

Saint Anthony Hospital in Chicago seeks a Patient Access Scheduler to manage scheduling requests from physicians and patients using manual and automated systems. You will collect demographics, insurance and financial information, assist with pre-registration and financial screening, and ensure payer guidelines are met.

Provide professional customer service and maintain accurate records. The role requires excellent multi-tasking, effective communication with patients and providers, and the

Qualifications

• Experience handling pre-registration and scheduling processes.
• Familiarity with insurance verification and payer guidelines.
• Strong customer service and communication skills.

Responsibilities

• Reviews scheduling requests from physician offices and patients for accuracy.
• Obtains demographic, insurance, and financial information for scheduling and pre-registration.
• Ensures medical necessity and payer guidelines for authorizations are met.
• Maintains records and notes within the hospital information system.
• Manages multiple tasks with professional customer service orientation.

Skills

Customer service

Communication

Insurance verification

Scheduling systems

Job description

Patient Access Scheduler

Saint Anthony Hospital Chicago, Illinois, United States

About this position

Patient Access Scheduler

Position Title: Patient Access Scheduler -Central Scheduling
Full Time
Day Shift
Compensation: $36,400K - $56,763K
The estimated range is the budgeted amount for this position. Final offers are based on various factors, including skill set, experience, location, qualifications and comparisons to colleagues in similar roles.

Saint Anthony Hospital is a diverse and community-centric organization your career can thrive in, while addressing the health and wellness challenges that families in our neighborhood face. Our employees deliver on our mission and achieve success by working together to provide excellent customer service.

As part of Saint Anthony Hospital’s commitment to providing the highest quality health care, we will be building a new state-of-the-art hospital to serve as an anchor to the Focal Point Community Campus. Learn more at focalpointchicago.org.

Central Scheduling - Patient Access Scheduler

Under the direction of the Scheduling Manager, is responsible for assuring that requests for scheduling procedures/tests received from physician(s) offices and patient(s) are processed in an accurate and timely manner using the manual and automated scheduling systems. Obtains pertinent demographic, insurance and financial information and assists with the pre-registration and financial screening process while ensuring medical necessity and payer guidelines for authorizations are met. Handles all routine patient inquiries related to the scheduling and pre-registration process. Maintains accurate records associated with the scheduling, and the processing of patient documentation. Able to manage multiple tasks with an excellent orientation to professional customer service.

Essential Functions:

• Reviews pre-admission and pre-registration accounts daily and proactively contacts insurance payers and patients at least 72 hours before service. Ensures all required payer information is obtained, deposits are collected, and payment arrangements are established in accordance with organizational policies through timely, effective follow-up.
• Verifies insurance eligibility and benefits, uses payer and third-party systems to obtain authorizations, and coordinates with primary care providers as needed to secure required pre-certifications and authorizations. Reviews patient accounts to ensure all financial, insurance, and demographic information is complete and accurate, and documents updates in the hospital information system in accordance with established procedures.
• Interprets physician orders and collaborates with providers and clinical staff to ensure accurate documentation of diagnoses, procedures, and ancillary service requirements for patient scheduling and care coordination.
• Communicates financial obligations to patients, guarantors, and family members, including estimated patient responsibility for elective services. Reviews deductibles and other out-of-pocket costs before the date of service and accurately documents anticipated payments and payment arrangements.
• Discusses available payment options with patients, secures payment or payment arrangements, and refers eligible accounts to a Financial Counselor for financial assistance screening, including Medicaid (MANG) and Charity Care application processes.
• Maintains departmental logs and operational reports, including daily and weekly tracking of incoming, completed, and pending work. Documents all activities accurately in system notes and in assigned work queues