Corporate Scheduler I

Baptist Health Care•Pensacola, FL

16h

About The Position

The Corporate Scheduler is responsible for scheduling outpatient diagnostic services for patients and physicians' offices within the Baptist Health Care system. This role requires proficiency in the scheduling system across all modalities, a strong understanding of the registration process including insurance payors, plan codes, and pre-certification/authorization criteria. The Corporate Scheduler is expected to deliver excellent customer service, maintain high standards in scheduling accuracy, insurance verification, pre-registration, pre-certification, up-front collections, and adhere to healthcare industry standards. A full understanding of all PASS software systems is necessary, along with compliance with regulatory standards like HIPAA and Identity Theft “Red Flag Rules” through proper patient identification. The role involves coordinating with physician offices for authorizations, communicating with care management and financial counselors regarding inpatient scheduling, referring inpatient accounts as needed, and utilizing a resource management system for documentation and status updates. Accurate patient account information, including benefits, authorization details, and patient financial responsibility, must be maintained. The Corporate Scheduler will inform patients of their financial liability prior to service, ensure financial clearance protocols are met (including collecting liability, establishing payment plans, or referring to eligibility/financial counselors), and reschedule patients if clearance or authorization cannot be obtained, notifying relevant parties. Productivity tracking and reporting are also key responsibilities.

Requirements

Proficiency in scheduling in all modalities within the Scheduling System.
Proficiency with the registration process.
Strong understanding of insurance payors and plan codes.
Understanding of pre-cert / authorization criteria needed for scheduling and performing services.
Excellent customer service skills.
Understanding of all functionality of all PASS software systems.
Knowledge of current regulatory and compliance standards, including HIPPA and Identity Theft “Red Flag Rules”.
Ability to coordinate with physician offices, care management, financial counselors, and registration case managers.
Ability to utilize resource management system.
Ability to review and update patient accounts accurately.
Ability to inform patients of financial liability.
Ability to ensure Financial Clearance protocol completion.
Ability to reschedule/defer patients and notify relevant parties.
Ability to track productivity and provide reports.

Responsibilities

Scheduling outpatient diagnostic services for patients and physicians' offices.
Performing the registration process, including understanding insurance payors, plan codes, and pre-certification/authorization criteria.
Delivering excellent customer service to patients and physicians' offices.
Maintaining accuracy in scheduling, registration, insurance verification, pre-registration, pre-certification, and up-front collections.
Understanding and utilizing all PASS software systems.
Ensuring compliance with HIPAA and Identity Theft “Red Flag Rules” by properly identifying patients.
Coordinating with physician offices to obtain necessary authorizations.
Coordinating with care management, financial counselor, and registration case managers for inpatient scheduling.
Referring inpatient accounts to Bed Hub or admitting Nurses for clinical justifications.
Using the resource management system to document, view, and update statuses.
Reviewing and updating patient accounts with accurate information for claims processing and payment.
Documenting benefits, authorization information, and patient financial responsibility.
Informing patients of their financial liability three days prior to scheduled service.
Ensuring Financial Clearance protocol completion, including collecting patient liability, establishing payment plans, or referring to Medicaid Eligibility/Financial Counselor.
Rescheduling/deferring patients when financial clearance or authorizations are not obtained, and notifying relevant parties.
Tracking productivity and providing reports as required.