Outpatient Scheduler - Outpatient Scheduling and Authorization - Temporary - Bilingual (English/Spanish) Preferred
About The Position
Under supervision, performs basic registration functions for the capture of pertinent demographic and insurance/payer information as well as scheduling activities, which may include: basic patient registration knowledge in order to effectively schedule appointments which will result in billable charges, collecting and entering accurate patient demographic information, selecting correct patient account information, validating necessity of authorization(s) for specific appointment types being booked and scheduled. DISTINGUISHING CHARACTERISTICS: Incumbents have hospital/healthcare knowledge or experience, and are expected to gain specific knowledge of the importance of patient and insurance demographic information and the availability of payment options for patients requiring a referral to a financial counselor. Outpatient Schedulers will be responsible for answering phones, directing patient calls to the appropriate departments when necessary and scheduling appointments for multiple different physicians, providers, specialties, clinics, and locations.
Requirements
- High School Diploma, G.E.D. or equivalent
- Six (6) months of outpatient clinic or medical office experience performing maintaining schedules OR an equivalent combination of education, training, or experience sufficient to successfully perform the essential duties of the job
- Knowledge of State and federal government funding programs such as Medicare, Medi-Cal, CCS, TRICARE/CHAMPUS, Workers’ Compensation, and commercial insurance payers
- Knowledge of Billing and reimbursement guidelines and methodologies for state and federal government and non-government payers
- Knowledge of Medical and insurance terminology
- Knowledge of HIPAA privacy and compliance practices
- Ability to Communicate effectively both orally and in writing sufficient to perform the essential functions
- Ability to Read, understand, and apply policies and guidelines
- Ability to Obtain information from a variety of sources, including patients and families
- Ability to Use computers and various software to accomplish work
- Ability to Establish and maintain effective working relationships with patients, families, and other internal and external customers
- Ability to Use tact and empathy in working with patients and families under stressful situations
- Ability to Perform work effectively with frequent interruptions
- Ability to Perform multiple tasks in a fast paced environment; lift, carry, push or pull files
- Ability to Sit at work station for prolonged periods of time
Responsibilities
- Answers patient calls, reviews process, and schedules appointments for exam or follow up
- Calls patients to reschedule same day cancelled appointments
- Enters all patient demographic information into electronic patient record system; uses other department applications for eligibility and authorization
- Documents funding information from patients and provides information on available funding resources; refers patients to financial counselors when funding is not in place
- Uses payer resources and websites to explore and assess eligibility
- Works in collaboration with both outpatient authorizations as well as registration to identify and resolve issues and/or barriers
- Submits and responds to requests for information and inquiries related to outpatient scheduling processes, policies, and/or other related information; researches and resolves customer problems
- Performs other job-related duties as required.
Benefits
- Health Benefits coverage may be offered.
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What This Job Offers
Education Level
High school or GED
