Patient Scheduling Representative II - Medical Group Pulmonology

Nevada System of Higher Education•Bannockburn, IL

21h•Onsite

About The Position

This position is for a Patient Scheduling Representative II within the Medical Group Pulmonology at Swedish Hospital in Chicago, IL. The role is full-time, 40 hours per week, with hours from Monday to Friday, 8:30 AM to 5:00 PM. The Patient Scheduling Representative II is responsible for handling a high volume of incoming calls, scheduling appointments accurately for multiple offices, and ensuring outstanding customer service. This role also involves entering diagnoses and ICD-9 codes, gathering patient information, pre-registering patients, advising on insurance requirements, explaining the collections policy, and assisting new employees. The position requires maintaining accurate physician and insurance data and keeping paper files as a backup. Allowable access to protected health information includes patient name, demographic information, financial information, and the ability to view patient records.

Requirements

High School graduate
Excellent interpersonal and customer service skills.
Excellent phone voice – proper grammar, diction.
Basic knowledge of medical terminology, anatomy & physiology and coding.
Knowledge of clinical office or department general policies and practices.
Keyboarding at 45wpm.
Working knowledge of MS Office applications (Word, Excel, Power Point), intranet/internet, and web-based portal functionality.
Knowledge of Medicare, Public Aid.
Managed care payment and reimbursement requirements.
Ability to prioritize and organize tasks, and to maintain flexibility in response to constantly changing demands.
Ability to concentrate and remain composed in a busy, distracting office environment in high-pressure situations.
Ability to interact positively and effectively with multiple departments.
Ability to use good judgment and utilize independent decision-making skills to effectively problem solve, resolve issues and facilitate department efficiency and productivity.
Ability to prioritize and organize tasks and to maintain flexibility in response to constantly changing demands.

Nice To Haves

Prefer two or more years of health related college course work.
Preferred one year experience in hospital admissions, hospital department scheduling, or in physician office scheduling.

Responsibilities

Answers high volume of incoming calls promptly, courteously, and in a caring friendly manner, ensuring outstanding customer service at all times.
Accurately, appropriately and efficiently schedules appointments for multiple offices.
Follow specific department guidelines and protocols, ensuring service excellence at all times.
Responsible for entering appropriate diagnoses and ICD-9 codes in compliance with Local Medical Review Policies.
Gathers complete and accurate patient type, demographic and billing information.
Pre-registers patients in a timely and efficient manner.
Advises patient of any insurance authorization and referral requirements and ensures timely transfer of registration information to ensure financial clearance and appropriate reimbursement.
Advises patients of the collections policy and explains payments, deposits and co-pays.
Directs patient to the SCMG Biller when necessary.
Assists and supports new employees to make them aware of department policies and procedures, while emphasizing excellent quality and customer service excellence.
Maintains accurate physician data for new doctors on staff, insurance information and other updates in the computer system.
Maintains paper files and binders up to date as a back-up for computer down time, so that referrals can be done manually.