Scheduling Specialist - Urology - Torrey Pines

Duties

• Interacting with patients, payers, and providers to gather information necessary for accurate registration including assigning of appropriate Medical Record Number, scheduling, referral/authorization, point of service payment collection, document collection and arrival/check-in functions.
• Responding to customer billing and payment inquires as needed.
• Mentoring and training staff on departmental procedures.
• Accurately scheduling and re-scheduling complex patient procedures and appointments.
• Accurately documenting patient to provider communication, assessing urgency and escalating as appropriate.
• Managing the patient check-in and check-out process from start to finish, which includes identification verification; updating or confirming demographic and insurance information on every patient; ensuring appropriate forms are provided, signed and witnessed at the time of the patient visit; verifying coverage including benefits, authorization, pre-determination, payer specific policy exclusions or limitations to coverage, collecting any patient responsibility and accurately preparing end of day reporting or payment reconciliation as needed.
• Regularly displaying a proactive approach to customer service by listening to the patient, taking ownership of solutions and being able to accurately identify the need to involve leadership to resolve concerns.

Requirements

• Must possess excellent mathematical skills and ability to handle monies.
• Excellent communication and customer service skills.
• Strong organizational and analytical skills; innovative with ability to identify and solve problems.
• Able to adapt, prioritize and meet deadlines.
• Knowledge of medical terminology, commercial and government health insurance and billing guidelines, ACA requirements, understanding of DRG's, Medical ICD9/ICD10 codes and CPT/HCPC Codes and Modifiers are required.

Qualifications

• 2 or more years of experience in a customer service or healthcare/medical office environment.
• Previous scheduling experience.
• Experience with Epic.