Access Center Representative

Primary Function

• Responsible for scheduling outpatient testing appointments, as well as provider office appointments for practices across the Care New England Health System.
• Responsible for maintaining scheduling priority through inbound scheduling calls or request for service (RFS) worklist and incoming faxes to make outbound scheduling phone calls.
• Communicates with physicians, physician office staff, and patients to obtain accurate patient insurance, medical, testing and appointment information, per the Minimum Data Set (MDS).
• Coordinates interpreter services as needed. Coordinates schedule based upon physician privileges, procedure descriptions, scheduling rules, and insurance requirements.
• Creates initial patient registration in hospital information system; assigning patient medical record number and encounter financial number to begin the preregistration process.
• Efficiently schedules patients per exam type, indication and priority, rearranging schedules across various departments and practices within the Care New England Health System, and satellite locations when needed to accommodate urgent situations.
• Interacts with multiple departments and practices across the Care New England system to insure daily schedules meet maximum capacity and appropriateness.
• As need arises, scheduler will communicate last minute patient scheduling needs to accommodate same-day appointment requests as well as any overbooking scheduling with various departments and practices across the Care New England Health System.
• Fosters a team approach towards achieving the overall goals of the revenue cycle and CNE hospitals.

The role would also be cross-trained to be responsible for management of any incoming request for service for a variety of appointments across the Care New England Health System. Coordinates with physicians across a variety of departments and practices within CNE to ensure any incoming request for service is accurate and complete, ready to be scheduled for the appropriate patient appointment. Promptly obtains incomplete information on required forms until all data is received, and communicates with the providers regarding authorization numbers as required. Notifies coordinator in a timely manner of problems in obtaining necessary data. Ensures that proper document authorizations are secured for procedures and/or tests. Responsible for fostering inclusivity and collaboration across various departments and practices within the Care New England Health System to ensure all referring providers are held to the highest standard for documentation when requesting a service through an order or referral.

Specifications

A high school diploma required.

Two years’ experience in a medical setting and customer service environment required.

Certificate or working knowledge of medical terminology and strong oral communication skills are required.

Minimum typing speed of 40 words per minute (wpm) with a working knowledge of personal computers, ability to prioritize and perform multiple duties simultaneously, ability to handle a high volume of calls and exhibit strong organizational skills are required.

Must be able to adapt to continual process changes.

Willing to work additional hours and change work schedule as need arises.

Fluent in Spanish/Portuguese Preferred