Scheduler

Responsibilities

Core Responsibilites and Essential Functions

• Scheduling Duties
  * Knowledge of all Medical Imaging exams in all modalities, including patient preps and instructions.
  * Demonstrate understanding of Medical Imaging Procedures.
  * Knowledge of Diagnosis codes or reasons for procedures
  * Knowledge of testing frequencies based on insurance and Medicare guidelines.
  * Knowledge of various insurance programs offered by each carrier
  * Knowledge of Medicare guidelines regarding exams that require Medical necessity checks (Follow ABN process)
  * Knowledge of insurance carriers? requirements for Pre-Authorization of procedures and referrals for procedures (Referring to Insurance Quick Reference guide).
  * Knowledge of the lead time required by an insurance carrier to process pre-auth referral
  * numbers.
  * Knowledge of all Medical Imaging facilities hours of operation.
  * Asking exam pre-screening questions to ensure that a patient meets criteria or does not have conditions that would contra-indicate the test being performed.
  * Knowledge of which Medical imaging exams require specialized Radiologists and able to coordinate that with the schedule to make sure the patient is scheduled at the correct facility.
  * Assist the physician?s office with ICD-9 and ICD-10 codes for Medicare Medical necessity by referring to the coding helpline
  * Schedule procedures for Cardiopulmonary (Echocardiograms)
  * Knowledge of EMR, Fax and Email orders
  * Working Knowledge of working with orders in the Medical Imaging Schedule Orders Work Queues
  * Knowledge of electronic orders (Image Now, Trace) and attaching paper orders to scheduled appointments.
  * Handle heavy phone volumes, providing appropriate telephone etiquette and scripting
  * Ability to type with a high degree of accuracy and computer skills to accurately input data into scheduling software.
  * Excellent communication and interpersonal skills to effectively obtain required minimum data set from patients, their representatives and/or physician offices; obtains verifies and updates demographic and insurance information, accurately completing scheduling questionnaires. Verify payors through real-time eligibility, if applicable. Non-RTE payors must be verified via web or phone.
  * Verify the accuracy of data entered and correct any errors
  * Superior attention to detail
  * Ability to exercise judgment in taking appropriate actions in emergent situations, take initiative when problem solving, retain composure in stressful situations and escalate issues as necessary
  * Maintain neat attire, hair and appearance, following the department dress code.
• Team Player
  * Ability to interact respectfully with co-workers, patients, referring office staff in a friendly, personable and professional manner
  * Promote positive working relationships with co-workers, Team Leads, Supervisors and Managers.
  * Orientates new employees and assures proper documentation of training
  * Assists other areas of Scheduling when needed
  * Flexible with hours to meet department needs
  * Assist in the interview process of new hires if asked
  * Understands existing lines of communication and authority, handles communications properly and is dependable and cooperative
  * Meets Service Recovery and Customer Service guidelines as needed

Required for All Jobs

• Performs other duties as assigned
• Complies with all WellStar Health System policies, standards of work, and code of conduct.

Qualifications

Required Minimum Education

• High school diploma Required or
• equivalent.
  Required

Required Minimum Experience

• minimum 1 year of experience in customer service or medical scheduling Preferred

Required Minimum Skills

• Strong customer service skills, good communication and organizational skills.
• Basic insurance carrier and pre-certification knowledge and computer skills preferred.
• Basic typing and data entry experience. Medical Terminology preferred.
• The individual must be able to communicate and understand verbal and written English language and display a positive attitude.
• This position requires a high level of attention to detail and a low error rate, as the consequences of even a minor mistake can be significant for patients and providers.
• In addition, this position requires regular, reliable attendance.

Required Minimum License(s) and Certification(s)


Additional Licenses and Certifications