Scheduler Surgery Heart and Vascular

Intermountain Healthcare Inc.; Wheat Ridge (CO); On-site; USD 42,000 - 62,000; Full time

Benefits offered by this job

Benefits eligible

Job summary

Intermountain Health Heart & Va is seeking an Enhanced Scheduler to register and schedule patients across facilities. You will review insurance benefits, discuss costs, and capture demographics while serving as a liaison between referring offices and departments.

The role requires attention to detail, strong communication, and the ability to handle multiple tasks in a fast-paced environment. On-site schedule is Monday–Friday, 8am–5pm, with benefits eligible.

Qualifications

• High school diploma or equivalent is required.
• Two (2) years related experience in a health care organization is required.

Responsibilities

• Maintains the surgery schedule, providing necessary information to patients and physicians.
• Coordinates, registers and schedules appointments for patients according to availability.
• Conducts patient pre-certification on proper insurance approval for appointments and medical care.
• Ensures all pre-operative required tests needed prior to surgery are scheduled and completed.
• Coordinates and ensures necessary equipment is ordered, room availability/scheduled, pre-surgery medication, etc. is arranged prior to scheduled procedure.
• Communicates detailed information and answers patients' questions regarding surgery preparation instructions, arrival/departure instructions relative to procedure.
• Schedules any necessary follow-up appointments, as directed by physicians.
• Receives and screens calls relating to problems that may arise due to date changes and any reasons for cancellation.
• Greets patients. Answers phones, takes messages, returns calls and provides needed information, while documenting all phone calls accurately and completely in the electronic medical record (EMR).
• Schedules patient appointments for visits, procedures, diagnostic tests, referrals and/or consultations.
• Registers patients. Confirms, enters, and/or updates all required demographic data on patient and guarantor on registration system. Follows procedures when identifying patients.
• Obtains copies of insurance card(s), forms of ID, and signature(s) on all required forms. Verify information on appropriate accounts to determine insurance coordination of benefits, pre-certification/prior-authorization. Complete the Medicare Secondary Payer (MSP) questionnaire when applicable.
• Verifies insurance to determine coordination of benefits and obtains authorization and/or referrals as required.
• Screens for non-covered services and waiver of liability (ABN) through automated screening at time of service.
• Informs self-pay patients of liability due and prepayment requirements.
• Prepare estimate of procedures, calculates advance payment requirements on previous or bad debt and current balances. Refer potentially eligible patients to financial counseling and/or contract eligibility vendor(s). Refer complex or non-compliant patient financial issues to Clinic Manager or Revenue Service Center.
• Collects patient payments and provides accurate receipt. Posts payments in system. Reconciles receipts with cash collected and complete required balancing forms.
• Documents patient account notes for all interactions/transactions.
• Maintains department and/or individual work queues and reports as required.
• Prepares medical records for patient appointments by compiling information from various sources to include authorizations and non-Epic documentation. Accurately scans medical records as required for Medical Group or specialty office.
• Promotes mission, vision, and values of SCL Health, and abides by service behavior standards.

Skills

Customer service

Communication skills

Computer skills

Professionalism

Team player

Multi-tasking

Education

High school diploma

Job description

Job Description

The Enhanced Scheduler is responsible for registering and scheduling patients at Intermountain Healthcare facilities system-wide ensuring that processes and procedures exceed customer expectations. This position enhances the patient experience with one telephone call to schedule and register for services. The Enhanced Scheduler reviews insurance benefit information, estimated costs, and payment options with the patient. Also obtains or reviews all necessary demographic, clinical, procedural, and prep information with the patient or representative. This position also enhances the Provider experience by offering a single point of contact for the referring offices. The Enhanced Scheduler acts as a liaison between the physician office and facility departments across multiple service lines within the enterprise.

Posting Specifics

• Benefits Eligible: Yes
• Shift Details: Monday - Friday 8am to 5pm

Job Essentials

• Maintains the surgery schedule, providing necessary information to patients and physicians.
• Coordinates, registers and schedules appointments for patients according to availability.
• Conducts patient pre-certification on proper insurance approval for appointments and medical care.
• Ensures all pre-operative required tests needed prior to surgery, are scheduled and completed.
• Coordinates and ensures necessary equipment is ordered, room availability/scheduled, pre-surgery medication, etc. is arranged prior to scheduled procedure.
• Communicates detailed information and answers patients' questions regarding surgery preparation instructions, arrival / departure instructions relative to procedure.
• Schedules any necessary follow-up appointments, as directed by physicians.
• Receives and screens calls relating to problems that may arise due to date changes and any reasons for cancellation.
• Escalates non-routine issues to the practice manager or physician.
• Greets patients. Answers phones, takes messages, returns calls and provides needed information, while documenting all phone calls accurately and completely in the electronic medical record (EMR).
• Schedules patient appointments for visits, procedures, diagnostic tests, referrals and/or consultations.
• Registers patients. Confirms, enters, and/or updates all required demographic data on patient and guarantor on registration system. Follows procedures when identifying patients.
• Obtains copies of insurance card(s), forms of ID, and signature(s) on all required forms. Verify information on appropriate accounts to determine insurance coordination of benefits, pre-certification/prior-authorization. Complete the Medicare Secondary Payer (MSP) questionnaire when applicable.
• Verifies insurance to determine coordination of benefits and obtains authorization and/or referrals as required.
• Screens for non-covered services and waiver of liability (ABN) through automated screening at time of service.
• Informs self-pay patients of liability due and prepayment requirements.
• Prepare estimate of procedures, calculates advance payment requirements on previous or bad debt and current balances. Refer potentially eligible patients to financial counseling and/or contract eligibility vendor(s). Refer complex or non-compliant patient financial issues to Clinic Manager or Revenue Service Center.
• Collects patient payments and provides accurate receipt. Posts payments in system. Reconciles receipts with cash collected and complete required balancing forms.
• Documents patient account notes for all interactions/transactions.
• Maintains department and/or individual work queues and reports as required.
• Prepares medical records for patient appointments by compiling information from various sources to include authorizations and non-Epic documentation. Accurately scans medical records as required for Medical Group or specialty office.
• Promotes mission, vision, and values of SCL Health, and abides by service behavior standards.

Minimum Qualifications

• High school diploma or equivalent is required
• Two (2) years related experience in a health care organization is required

Required Skills

• Regular attendance to perform work on site during regularly scheduled business hours or scheduled shifts is required
• Demonstrate understanding of health insurance, medical costs, medical terminology.
• Excellent customer skills, in person and via telephone.
• Strong communication skills.
• Proficient computer skills.
• Possess a strong work ethic and a high level of professionalism.
• A team player who handles multiple projects simultaneously in a fast paced environment.

No Additional Description Available

Location

Intermountain Health Heart & Va