Corporate Scheduler I

Responsibilities

• Proficient in scheduling in all modalities within Scheduling System.
• Proficient with registration process including strong understanding of insurance payors and plan codes, along pre-cert / authorization criteria needed for scheduling and performing services.
• Performs and delivers excellent customer service to all customers: patients, physicians, & ancillary service lines.
• Maintains Baptist Health Care goals of scheduling, registration accuracy, insurance verification, pre-registration, pre-certification, up-front collections, and other healthcare industry standards or trends in which the Call Center metrics of measurement is based.
• Meets current regulatory and compliance standards, including HIPPA and Identity Theft “Red Flag Rules” by ensuring all patients are properly identified prior to scheduling.
• Captures and documents patient information accurately using PASS software systems.
• Coordinates with physician offices as needed to obtain appropriate authorizations required by Payers for services ordered by physician.
• Coordinates with care management, financial counselor, and registration case managers to inform them of authorized or available days for inpatients.
• Refer inpatient accounts to Bed Hub, and or admitting Nurses for clinical justifications for pre-certification as necessary.
• Utilizes resource management system to document, view and update statuses as needed.
• Reviews and updates the patient’s account to ensure the hospital has accurate and current information to process claims and to obtain payment including complete documentation of benefits, authorization information, and patient financial responsibility including Hospice admissions or other insurance changes as required.
• Contacts patients to inform of them of their financial liability 3 days prior to date of scheduled service date.
• Ensure Financial Clearance protocol has been completed, which includes collecting patient liability prior to service; establishing payment plan with accepting a deposit; referrals to Medicaid Eligibility; and or referral to Financial Counselor.
• Reschedules/defers patients whom financial clearance cannot be completed or authorizations have not been obtained for and notifies supervisor, ancillary departments, and physician office of deferral process.
• Tracks productivity and provides cumulative reports on a daily, weekly, or monthly basis, as required by supervisor and /or manager.
• Affirmatively supports the operational needs of the department and organization by assisting in other duties as assigned.

Requirements

Must have a high school diploma or equivalent. Must have at least 1 year of experience in a healthcare setting. Must have strong computer skills, including proficiency with Microsoft Office applications. Must have strong communication and interpersonal skills. Must have strong organizational and time management skills. Must have strong attention to detail. Must have strong problem-solving skills. Must have strong customer service skills. Must have strong knowledge of healthcare regulations and compliance standards. Must have strong knowledge of insurance payors and plan codes. Must have strong knowledge of pre-cert / authorization criteria needed for scheduling and performing services. Must have strong knowledge of Baptist Health Care goals of scheduling, registration accuracy, insurance verification, pre-registration, pre-certification, up-front collections, and other healthcare industry standards or trends in which the Call Center metrics of measurement is based. Must have strong knowledge of HIPPA and Identity Theft “Red Flag Rules.”

Qualifications

Must have a valid driver's license and reliable transportation. Must have a valid Social Security number. Must be able to work flexible hours, including evenings and weekends. Must be able to work in a fast-paced environment. Must be able to work independently and as part of a team. Must be able to lift up to 25 pounds. Must be able to stand for long periods of time. Must be able to sit for long periods of time. Must be able to bend, stoop, kneel, crouch, and reach.

Skills

Strong computer skills, including proficiency with Microsoft Office applications.

Benefits

Comprehensive health insurance coverage.

Pay

$18.00 - $22.00 per hour.

Schedule

Full-time position with flexible hours.