Outpatient Clinical Scheduler

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a dynamic health care resource accredited by the DNV that includes two hospitals, an outpatient center, satellite ED, and an expansive network of primary and specialty care. Capital Health Medical Group is made up of more than 600 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region.

Capital Health recognizes that attracting the best talent is key to our strategy and success as an organization. As a result, we aim for flexibility in structuring competitive compensation offers to ensure we can attract the best candidates.

The listed pay range or pay rate reflects compensation for a full-time equivalent (1.0 FTE) position. Actual compensation may differ depending on assigned hours and position status (e.g., part-time).

Pay Range:

$18.57 - $23.23

Scheduled Weekly Hours:

40

Position Overview

Minimum Pay: $18.21/hr.

MINIMUM REQUIREMENTS

Education: High school diploma or GED.

Experience: Experience in a healthcare setting or customer service. Medical office, health access related, insurance verification, or scheduling experience preferred.

Other Credentials:

Knowledge and Skills:Strong verbal and written communication skills. Strong interpersonal and organizational skills. Knowledge with variety of insurance companies preferred.

Special Training:Proficient computer skills. Familiarity with medical terminology.

Mental, Behavioral and Emotional Abilities:Ability to problem solve and multi-task.

Usual Work Day:8 Hours  

REPORTING RELATIONSHIPS

Does this position formally supervise employees? No

If set to YES, then this position has the authority (delegated) to hire, terminate, discipline, promote or effectively recommend such to manager.

ESSENTIAL FUNCTIONS

• Performs all medical reception duties, including but not limited to answering phones, routine ordering/stocking of non procedural related supplies, scheduling appointments, PAT reservations, contacting patient to confirm scheduled appointments and notifies patient logistics of routine admissions for scheduled outpatient procedures.
• Gathers complete patient and procedure information and collaborates with physician's office to schedule cases while negotiating date and time and avoiding resource conflicts. Works with Interventional Radiology Director to schedule physician specific cases to maximize efficiency and productivity.
• Obtains pre-certification and authorizations from various insurance carriers according to current requirements to facilitate maximum utilizations and efficiency with minimal procedural related problems.
• Ensures all appropriate staff, patients, departments, and external resources are notified of additions, changes, and cancellations to the daily, weekly, and monthly schedule
• Reviews promptly with ordering Physician routine issues, difficulties, and unusual circumstances that may delay; cause insurance denials, or other scheduling concerns to allow for appropriate resolution.
• Obtains and advises patients of all necessary pre-certification and referrals needed for financial reimbursement and when required verifies all related authorization are obtained twenty-four hours before date of service.
• Interacts with patients, staff and physicians, in a courteous and professional manner. Implements service recovery skills as appropriate in problem solving situations and know when to address issue to Manager/ Director.
• Demonstrates willingness to assist co-workers by entering physician orders, transporting lab specimens, as well as with basic patient care needs/ activities during heightened departmental volumes.
• Oversees filing of information into medical records according to established protocol, the preparation, pulling and filling of charts and the purging of charts for effective file management.
• Takes accurate and complete messages, relays information, pages personnel and other departments, and physicians as needed, notifies appropriate staff of clinical significant or urgent situations arises.
• Assists and supports with the training and education of other staff related to the scheduling and insurance verification process.
• Works with charge nurse to coordinate with nursing units and other departments to help facilitate the movement of patients into and out of the procedural unit. Updates patient logistics of patient up/ downgraded as directed.
• Supports departmental Performanc