Patient Scheduling Representative II - Medical Group Pulmonology

Endeavor Health•Evanston, CA

1d•Onsite

About The Position

This position is responsible for answering a high volume of incoming calls promptly, courteously, and in a caring friendly manner, ensuring outstanding customer service at all times. The role involves accurately, appropriately, and efficiently scheduling appointments for multiple offices, following specific department guidelines and protocols to ensure service excellence. The Patient Scheduling Representative II is responsible for entering appropriate diagnoses and ICD-9 codes in compliance with Local Medical Review Policies, gathering complete and accurate patient type, demographic, and billing information, and pre-registering patients in a timely and efficient manner. They advise patients of any insurance authorization and referral requirements, ensuring timely transfer of registration information for financial clearance and appropriate reimbursement. Additionally, they advise patients of the collections policy, explain payments, deposits, and co-pays, and direct patients to the SCMG Biller when necessary. This role also involves assisting and supporting new employees, maintaining accurate physician data, and maintaining paper files as a back-up for computer downtime.

Requirements

High School graduate
Prefer one year experience in hospital admissions, hospital department scheduling, or in physician office scheduling.
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.

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.