Scheduler Lead - Patient Access Center

Responsibilities

• Maintains an understanding of payor rules and requirements for insurance authorizations
• Utilizes EPIC reports/work queue to ensure all components of the scheduling requirements are met prior to services
• To ensure timely resolution, monitors work queue activity
• Documents all activity on the patient account and appropriately documents and gathers patient demographic insurance information
• Participates in staff training to increase understanding of specific payor requirements, scheduling protocols and general functionality
• Adheres to productivity measures as outlined by management
• Adheres to quality assurance measures as outlined by management
• Maintains an understanding of EPIC within the scope of the job performed
• Works with the assigned payor to achieve resolution
• Schedules patients appropriately based upon location instructions, patient demographics and payor requirements
• Maintains strict confidentiality
• Directly affects accuracy of patient’s account and maximum reimbursement for organization
• Responsible for personal safety and maintaining a safe work environment
• Ensures work area is clean and clutter free
• Affords assistance as requested to update and input for department policy
• Inputs as requested by department manager
• Decisions must be made daily in resolving complex scheduling scenarios
• Must be able to accurately read payor communication and act accordingly
• Solving: Must be able to recognize discrepancies and resolve appropriately
• This position is responsible for identifying areas of process improvement through denial management, claim rejections and patient delays
• Routine contact with patients will be made on a regular basis in conducting scheduling activity related conversations
• The Scheduler Lead helps coordinate scheduling with associates
• This position is responsible for making interpreter arrangements
• Uses oral and written communication skills to effectively convey ideas in a clear, positive manner that is consistent with the CHRISTUS Mission
• Maintains established CHRISTUS Health policies, procedures, objectives, quality assurance, safety, environmental and infection control
• Implements job responsibilities in a manner that is consistent with the CHRISTUS Mission and Code of Ethics and supportive of CHRISTUS Health’s cultural diversity objectives
• Supports and adheres to CHRISTUS Service Guarantee
• Performs other duties as assigned to support PIC operations

Requirements

• High School Diploma

Work Schedule

5 Days - 8 Hours
Work Type: Full Time