Referral Scheduling Clerk
Floyd Medical Center - Rome, GA

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A.Education:
1.High School graduation or GED.
2.Higher education in areas of medical insurance carriers, patient scheduling, and general medical knowledge through certificates received or training schools would be a plus.

B.Experience
1.Minimum of two years experience in a medical office/facility setting. Knowledge of medical terminology. Word processing, data entry, and computer experience.
2.Knowledge of business office procedures.
3.Knowledge of grammar, spelling, and punctuation to type patient information.

C.Licensure/Certification
None required

D.Interpersonal Requirements
1.Ability to work with physicians, administrative staff, and FMC staff effectively
2.Effective telephone communication skills.
3.Ability to read, understand, and follow oral and written instructions
4.Ability to establish and maintain effective working relationships with patients, employees,and the public.

E.Job Specific Competencies
1.Proficient in Floyd’s scheduling systems and hospital information systems
2.Ability to understand medical records, hospital bills, and the chargemaster.
3.Ability to understand all ancillary department functions for Floyd Medical Center.
4.Ability to utilize and understand computer technology.
5.Ability to understand complex insurance terms and payment methodologies.
6.Ability to communicate orally and in written form.
7.Must be team-oriented with strong interpersonal skills.
8.Must satisfactorily complete the specific core competencies, as well as any applicable cross training skills.
9.Must complete within 30 days of hire date and yearly thereafter mandatory compliance education session as described:
General Compliance Education - 2 hours within 30 days and 1 hour annually - to include explanation of FMC's Corporate Integrity Agreement requirements and Compliance Program.

Specific Training: 2 hours annually - consist of training on the aspects of generating, preparing and/or submitting accurate requests for reimbursement from Federal Health Care Programs for professional services. Training will include medical record documentation, personal obligation of each individual to ensure that the information documented is accurate and meets the federal and state requirements for the Federal Health Care Programs, legal sanctions for improper reimbursement submission and examples of proper and improper billing practices.

Job Description:
To schedule appointments for Floyd physicians related to consults and referrals for their patients. The scheduler is responsible for making timely and efficient appointments for patients in need of a consults with a specialist. The scheduler handles making the appointment with the receiving physicians, follow up with the patient and primary care physician. The scheduler will also market Floyd’s services and facilitate any follow up services. The scheduler will explain the appointment times, preparations necessary for the appointment, insurance information concerning the appointment, and will answer any questions the patients may have within the range of settings up an appointment. This will be accomplished by telephone and other correspondence. The scheduler keeps the physicians informed of any delays in service due to rescheduling, cancellation, or pending pre-certification. Additional project(s) may be assigned pursuant to the department's strategic plan.

Floyd Medical Center - 15 months ago - save job - block
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