Pre-Registration Scheduler

North Texas Medical Center; Gainesville (TX); On-site; USD 22,000 - 28,000; Full time

Job summary

North Texas Medical Center is seeking a Pre-Registration Scheduler to join the Patient Financial Services and Revenue Cycle team. The role serves as the primary contact for patients and provider offices, ensuring accurate patient data and scheduling for outpatient services across Radiology, Surgery, Respiratory Therapy and NTMC clinics.

Responsibilities include collecting demographic and insurance information, verifying eligibility, obtaining prior authorizations, maintaining the scheduling

Job description

Job Summary

Monday - Friday, 08:30am to 5:00pm

The Pre-Registration-Scheduler is a critical role within the Patient Financial Services and Revenue Cycle team. This position serves as the primary point of contact for patients and provider offices, ensuring that all outpatient services ranging from Radiology, Surgery, Respiratory Therapy and NTMC clinics are scheduled efficiently while maintaining strict regulatory and financial compliance.

Summary Of Essential Job Functions

Pre-Registration and Data Integrity:

• Collect and verify patient demographic and insurance information prior to the date of service.
• Before the encounter is finalized, analyze and resolve live quality metrics by modifying patient records in Medhost.
• Utilize and maintain the Pre-registration-Scheduling worklist database to track GFE status, authorization details, and provider notes.
• Ensure Patient Control Numbers (PCNs) are created only when a patient is ready to be moved forward with scheduling.
• Manage patient intake and consent forms through digital platforms such as Simple Interact, ensuring duplicate consents are minimized and rescheduling is reflected accurately in the database.

Insurance Verification and Authorization

• Conduct comprehensive insurance verification and check for automated responses within the Medhost system.
• Obtain necessary prior authorizations and verify medical necessity for scheduled procedures.
• Collaborate with provider offices to correct orders when the wrong compendium is selected or clinical documentation is missing.
• Maintain knowledge of the current payor grid, including new agreements such as Healthcare Highways.

Centralized Scheduling and Coordination

• Coordinate scheduling for various modalities including Radiology (MRI, CT, Ultrasound, Mammography) and Surgical procedures.
• Manage outpatient testing schedules for Respiratory Therapy (EKGs, PFTs, ABGs), strictly adhering to the established scheduling windows to accommodate inpatient rounds.
• Proactively contact patients whose orders have been faxed to schedule appointments, thereby reducing walk-ins and ensuring staff availability.
• Monitor and aim to reduce Turnaround Time (TAT) from the receipt of an order to the finalized scheduled appointment.

Regulatory Compliance and GFE Management

• Strictly follow No Surprises Act and/or Regulatory protocols regarding Good Faith Estimates (GFEs) for self-pay patient