Scheduler

Job Summary

The MI Scheduling Scheduler functions under the direction of the Scheduling Supervisor/Manager and Diagnostic Outreach VP. Provides outstanding customer service to customers in a fast-paced, busy environment. Drive system-wide volumes by scheduling Medical Imaging appointments via inbound and/or outbound telephone calls or in person. Observes Quality and Productivity standards and other Key Performance Indicators. Responsible for performing a wide variety of clerical procedures that requires independent judgment, ingenuity, and initiative in the utilization of computers and other equipment.

Core Responsibilities And Essential Functions

• Scheduling Duties:
  • Knowledge of all Medical Imaging exams in all modalities, including patient preps and instructions.
  • Demonstrate understanding of Medical Imaging Procedures.
  • Knowledge of Diagnosis codes or reasons for procedures.
  • Knowledge of testing frequencies based on insurance and Medicare guidelines.
  • Knowledge of various insurance programs offered by each carrier.
  • Knowledge of Medicare guidelines regarding exams that require Medical necessity checks (Follow ABN process).
  • Knowledge of insurance carriers requirements for Pre-Authorization of procedures and referrals for procedures (Referring to Insurance Quick Reference guide).
  • Knowledge of the lead time required by an insurance carrier to process pre-auth referral numbers.
  • Knowledge of all Medical Imaging facilities hours of operation.
  • Asking exam pre-screening questions to ensure that a patient meets criteria or does not have conditions that would contra-indicate the test being performed.
  • Knowledge of which Medical imaging exams require specialized Radiologists and able to coordinate that with the schedule to make sure the patient is scheduled at the correct facility.
  • Assist the physicians office with ICD-9 and ICD-10 codes for Medicare Medical necessity by referring to the coding helpline.
  • Schedule procedures for Cardiopulmonary (Echocardiograms).
  • Knowledge of EMR, Fax and Email orders.
  • Working Knowledge of working with orders in the Medical Imaging Schedule Orders Work Queues.
  • Knowledge of electronic orders (Image Now, Trace) and attaching paper orders to scheduled appointments.
  • Handle heavy phone volumes, providing appropriate telephone etiquette and scripting.
  • Ability to type with a high degree of accuracy and computer skills to accurately input data into scheduling software.
  • Excellent communication and interpersonal skills to effectively obtain required minimum data set from patients, their representatives and/or physician offices; obtains, verifies, and updates demographic and insurance information, accurately completing scheduling questionnaires. Verify payors through real-time eligibility, if applicable. Verify the accuracy of data entered and correct any errors.
  • Superior attention to detail.
  • Ability to exercise judgment in taking appropriate actions in emergent situations, take initiative when problem-solving, retain composure in stressful situations and escalate issues as necessary.
  • Maintain neat attire, hair and appearance, following the department dress code.
• Team Player:
  • Ability to interact respectfully with co-workers, patients, referring office staff in a friendly, personable and professional manner.
  • Promote positive working relationships with co-workers, Team Leads, Supervisors and Managers.
  • Orients new employees and assures proper documentation of training.
  • Assists other areas of Scheduling when needed.
  • Flexible with hours to meet department needs.
  • Assists in the interview process of new hires if asked.
  • Understands existing lines of communication and authority, handles communications properly and is dependable and cooperative.
  • Maintains Service Recovery and Customer Service guidelines as needed.

Required Minimum Education

A high school diploma or equivalent.

Required Minimum License(s) And Certification(s)

All certifications are required upon hire unless otherwise stated.

Additional License(s) And Certification(s) Required Minimum Experience

Minimum 1 year of experience in customer service or medical scheduling.

Preferred Required Minimum Skills

• Strong customer service skills, good communication and organizational skills.
• Basic insurance carrier and pre-certification knowledge and computer skills preferred.
• Basic typing and data entry experience.
• Medical Terminology preferred.