Clinic Scheduler: Meeker Family Health

Pioneers Medical Center•Meeker, CO

15d•Onsite

About The Position

The Clinic Scheduler is responsible for receiving requests to schedule procedures, verifying insurance eligibility and benefit information, obtaining pre-authorization, and discussing third-party coverage and payment options with patients. This role also involves explaining insurance benefits in detail, providing estimates for procedures, ensuring patients have necessary information for their appointments, and coordinating with hospital registration staff. The scheduler must maintain open communication with hospital departments regarding schedule changes, participate in educational activities, and provide excellent customer service. The position may involve cross-training with other duties as assigned.

Requirements

Previous experience in appointment scheduling preferred.
Knowledge of medical terminology and billing practices, including ICD-10, CPT, and HCPCS codes preferred.
Kind and professional demeanor.
Professional and well-groomed appearance at all times.
Communicate positively and effectively, both written and verbally, with patients, family, and staff.
Demonstrate effective organizational skills in an evolving environment.
Work with honesty, compassion and integrity at all times.
Understand and adhere to the scope of service for the department and this position.
Understand and adhere to all of PMC’s policies and procedures.
Understand and adhere to PMC’s Code of Conduct.
Adhere to the strictest confidentiality and HIPAA regulations.
Demonstrate a commitment to building and sustaining a diverse, inclusive, and equitable working environment.
Ability to remain calm and efficient in emergency situations.
Demonstrate strong problem-solving skills.
Demonstrate strong emotional intelligence.
Must be able to remain in a stationary positon 50% of the time.
Must be able to move and traverse about the facility 50% of the time.
Frequently transport objects weighing up to 50lbs.
Occasionally position objects weighing up to 100lbs.
Must be able to communicate and exchange information in a way others will understand.
Must be able to recognize details such as color and depth within a few feet of the observer.
Frequently operates computers, machinery, and other healthcare equipment.
Constantly positions self to complete essential functions.
May be required to wear N95s or PAPRs throughout the shift.

Nice To Haves

Previous experience in appointment scheduling.
Knowledge of medical terminology and billing practices, including ICD-10, CPT, and HCPCS codes.

Responsibilities

Receive requests to schedule procedures, and schedule them according to the schedules of various departments after pre-authorization is obtained.
Verify insurance eligibility and benefit information via various software vendors or by calling the insurance companies.
Obtain pre-authorization information for procedures. Fax clinical information as directed.
Discuss third party coverage with patients and arrange for collection of out-of-pocket amounts.
Explain in detail insurance benefits, deductibles, co-insurance, etc, to patients.
Provide an estimate of procedure or service for patients.
Discuss various payment options and the billing process with patients.
Ensure patients have all of the information they need so they arrive on time prepared for the procedure.
Ensure Hospital Registration staff are provided with the appropriate paperwork prior to the patient’s service.
Document appropriate information on accounts on which action has taken place.
Maintain open communication with hospital departments regarding any schedule changes.
Actively participate in education activities, staff meetings, and in-services as required.
Provide excellent customer service at all times.
May be cross trained with other duties.
Other duties as assigned.