Coord Scheduling

About the role

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

Responsibilities

• Patient Scheduling:
  • Book appointments for services at South Shore Hospital (SSH) via telephone or fax with patients, physicians, or physician staff.
  • Re-schedule or cancel patients in the computer as required.
  • Ensure patients understand required tests and any necessary preparations.
  • Use PICIS OR Manager efficiently.
  • Schedule for most hospital departments according to hospital standards.
  • Schedule off-site appointments for wound clinic, Stetson, and 780 Main treatment rooms.
  • Pre-register all patients for scheduled appointments.
  • Run and work from applicable reports.
  • Provide quality customer service to internal and external customers.
• Insurance Authorization and Benefits Verification:
  • Process all pre-certification, eligibility, and benefit verification for all accounts.
  • Maintain fewer than 5 denials per year.
  • Follow downtime processes effectively.
  • Retrieve authorizations as necessary.
  • Interact with provider offices and insurance companies for authorization processes.
  • Verify all insurance eligibility according to hospital standards.
• Patient Registration:
  • Register patients with a 98% accuracy rate.
  • Verify demographic information on all patients.
  • Pre-register all patients who call for scheduled appointments.
  • Ensure all necessary patient information is obtained.
• Technology:
  • Embrace technological solutions to improve work processes and practices.
  • Use department computer programs effectively.
  • Understand and follow computer downtime processes.
  • Review and analyze NEHEN and Passport programs.
  • Manage own API system.
  • Utilize the phone system, including the VERA system.
• Safety Awareness:
  • Foster a “Culture of Safety” through personal ownership and commitment.
  • Adhere to patient identification policies and procedures.
  • Follow universal precautions and respiratory etiquette guidelines.
  • Understand individual roles and responsibilities during hospital codes (e.g., Code Disaster, Code Red).

Requirements

• Education: Preferred Associates degree; life experiences considered.
• Work Experience: 2–5 years in Patient Registration, Billing, Scheduling, or MD offices.
• Knowledge and Abilities:
  • Knowledge of medical terminology.
  • Telephone experience required.
  • Strong computer skills.
  • Customer service experience required.
  • Understanding of insurance third-party requirements.
  • Ability to work under pressure.
  • Works independently and makes decisions.
  • Functions as part of a team.