Scheduler
Shared Services - Houston - Houston, TX

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JOB TITLE:
Scheduler

GENERAL SUMMARY OF DUTIES

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Schedules patient testing/procedures/admissions; obtains pre-cert/authorization numbers and enters in the scheduling or registration system; obtains and enters accurate insurance information; answers incoming phone calls.

SUPERVISOR

  • Patient Access Manager (or Supervisor)
SUPERVISES

  • N/A
DUTIES INCLUDE BUT ARE NOT LIMITED TO:
Answer telephone in a timely and professional manner

Schedules all patients for ancillary, surgical, and medical testing/procedures/admissions through the Meditech scheduling module

Select accurate insurance carrier plans and informs the patient or physician office staff of any carrier that is out of network or of any carrier that may result in a decrease on benefits

Inform the physician office staff or patient of any testing requirements according to the instructions and queries in the scheduling module

Ensure that any edits performed in the scheduling module are also duplicated in the admissions module

Maintain knowledge of the scheduling reports for the next day to ensure department readiness in the event of any unscheduled Meditech down-time

Work closely with the physician office staff to ensure that pre-cert/authorization numbers are entered in the scheduling or registration system

Receive incoming pre-cert mail and ensure that pre-cert/authorization numbers are entered in the scheduling or registration system

Select the correct patient medical record number consistently

Maintain open communication with the registration staff regarding those unscheduled patients presenting for services to ensure appropriate testing is performed and times are available

Edit via the scheduling module those departmental calendar changes to ensure that patients are not scheduled when personnel is not available

Acknowledge, file, and send MOX messages via Meditech

Edit medical accounts to a PRE status

Enter outpatient procedures in the Order Entry System

Pull reservations off printers, keeping clinical reservations filed according to policy. Return surgical reservations to each appropriate scheduler.

Work clinical accounts at least 2 days in advance in order for admitting personnel to use reservations for calling patients and checking patient and insurance information

Attends in-service presentations, and completes mandatory education week, including but not limited to, infection control, patient safety, quality improvements, MSDS and OSHA standards.

Demonstrates knowledge of occurrence reporting system and utilizes system to report potential patient safety issues.

Practice and adhere to the "Code of Conduct" philosophy and "Mission and Value Statement"

Other duties as assigned

Qualifications

KNOWLEDGE, SKILLS & ABILITIES

Communication - communicates clearly and concisely, verbally and in writing

Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations

Interpersonal skills - able to work effectively with other employees, patients and external parties

PC skills - demonstrates proficiency in PC applications as required

Policies & Procedures - demonstrates knowledge and understanding of organizational policies, procedures and systems

Basic skills - able to perform basic mathematical calculations, balance and reconcile figures, punctuate properly, spell correctly and transcribe accurately

AGE OF PATIENTS SERVED:
This position requires competence in assessment, treatment, and/or care for the age groups indicated. The staff member must be able to demonstrate the knowledge and skills necessary to provide care, based on physical, psycho/social, educational, safety, and related criteria, appropriate to the age for the patients served in his/her assigned service area. The skills and knowledge needed to provide such care may be gained through education, training or experience.

Age Groups:
Birth - 1 year (infant), 1 - 11 years (pediatric), 12 - 16 years (preschooler), 17 - 64 years (adult),

65 - Life Span (geriatric)

EXPERIENCE

Prior scheduling experience preferred

CERTIFICATE/LICENSE

  • N/A
PHYSICAL DEMANDS/WORKING CONDITIONS

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Requires prolonged sitting, some bending, stooping and stretching. Requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator and other office equipment. Requires normal range of hearing and eyesight to record, prepare and communicate appropriate reports. Requires lifting papers or boxes up to 25 pounds occasionally. Work is performed in an office environment. Work may be stressful at times. Contact may involve dealing with angry or upset people. Staff must remain flexible and available to provide staffing assistance for any/all disaster or emergency situations.

HCA Inc - 21 months ago - save job