Scheduling Coordinator-PRN

Minimum Education
High School Diploma or GED High school level of knowledge required.

Minimum Work Experience
2 years prior clerical experience in a health care environment required.
Experience with medical insurance authorizations is strongly preferred.

Required Skills/Knowledge
Medical Terminology use and understanding is required, CPT/ICD Coding is preferred
Working knowledge of medical and private insurance authorizations and procedures.
Proficient with hospital computer programs.
Insurance Terminology use and understanding
Professional telephone manners
Strong organizational skills
Knowledge/experience of computer systems including, but not limited to, Windows, Microsoft Outlook, Excel and Word programs
Ability to prioritize and manage multiple tasks with efficiency
Perform other duties as required including cross training for patient registration
Demonstrate working knowledge of SharePoint, Cerner and eClinical Works (eCW) or other EMR

Job Functions
Registration and Scheduling

• Maintain referrals and appointment requests (fax queues, email requests, etc.) and add to waitlist.

• Obtain physician orders for services to be provided, as needed

• Using Automated Call Distribution (ACD) establish contact with patients via inbound and outbound calls to pre-register patients for future dates of service.

• Schedule all appointments and provide accurate schedule updates to supervisor as per established productivity guidelines for program including AT (full team evaluations, AAC evaluations and trainings, power mobility evaluations and trainings), OPED (DME/orthotics), serial casting, UE/LE custom splinting, OT, PT and ST, and feeding and swallowing clinic appointments.

• Manage and maintain schedules for all vendors/orthotists/therapists/licensed practitioners and distribute schedules accordingly.

• Disseminate and/or complete pre appointment paperwork or online forms (consents, screening tools) with family during scheduling call.

Eligibility and Authorizations

• Collect and review clinical documentation to ensure that information supports appointment request.

• Provide supporting clinical information to insurance payors, as needed.

• Contact and verify eligibility and benefits with insurance company in a timely manner and obtain authorization to pre-certify service, document pre-certification notes in registration.

• Research and document insurance denials and resubmit authorizations as needed.

• Research, document and communicate patient financial responsibility amounts and initiate the point of service (POS) collections process; determine patient liability based on service levels and make necessary recommendations.

Communication and Documentation

• Communicate with external and internal case managers, social worker and managements teams on the status of cases.

• Communicate with department billing and claims team on the status of authorizations and denials

• Responsible for information distributed via email and fax; check work email a minimum of 3 times daily and respond to inquiries within 24 hours (or within next business day)

• Using departmental standards, document all relevant conversations in EMR.

• Disseminate and/or complete pre appointment paperwork or online forms (consents, screening tools) with family during scheduling call.

Customer Service

• Work with managers and therapist to address any customer service concerns