Scheduler-Full Time-Days

Cape Fear Valley Health

1d•Onsite

About The Position

The Scheduler obtains and verifies demographic, clinical, financial, and insurance information while scheduling patient tests and procedures, pre-registering patients, and clearing them financially for services. The role validates medical necessity for Medicare and non-Medicare cases and processes signed physician orders to support clinical documentation. The Scheduler also verifies insurance eligibility and benefits, secures pre-certifications or authorizations and referral clearance, and provides financial education. When appropriate, the incumbent informs patients or guarantors of their financial liabilities, collects payments, and refers cases to resource counseling for follow-up and consultation. The position schedules outpatient appointments for radiology modalities and facilities, excluding biopsy and special procedures. It determines scheduling requirements, coordinates resources and add-on or same-day appointments, and sequences tests to minimize patient delays. The Scheduler contacts patients with appointment details and preparation instructions, educates patients, families, and physician offices, communicates confirmations to referring offices, and reconciles daily charge reports. Other duties may be assigned.

Requirements

High school diploma or equivalent.
Medical terminology required within one year of employment.
Proficiency in reading, writing, and speaking English.
Must pass pre-employment testing and post-training testing.
Knowledge of insurance and payment collection.
Experience with Microsoft software.
Excellent verbal and written communication, customer service, and problem-solving skills.
Ability to manage complexity and stress amid changing needs of patients, families, visitors, and the Health System.
May be required to rotate shifts and regular days off periodically; flexibility to meet department operating hours is required.
Ability to communicate orally, see, and hear to collect information.
Dexterity to operate office equipment.
Ability to bend, reach, push, and pull file drawers.
Ability to regularly lift or move up to 10 pounds, frequently lift or move up to 25 pounds, and occasionally lift or move up to 50 pounds.

Nice To Haves

College courses in Business, Health Care Administration, and/or Computer Technology.
One year of insurance or clerical experience in a hospital or medical office setting.

Responsibilities

Receive orders and schedule outpatient appointments for all modalities except biopsy and special procedures, across radiology outpatient facilities.
Determine scheduling requirements or limitations and schedule necessary resources, including equipment, staff, and rooms.
Coordinate add-on and same-day appointments as required.
Ensure proper sequencing of multiple tests to minimize patient delays.
Verify insurance eligibility and benefits through electronic transactions, web access, or payer calls, and document findings and reference numbers in the appropriate registration system.
Pre-register patients for upcoming visits.
Contact patients with appointment date, time, location, and preparation instructions; explain financial responsibility, answer questions, and provide directions.
Validate medical necessity for Medicare and non-Medicare cases to ensure clinical and financial clearance.
Inform patients or guarantors of financial liabilities and collect applicable co-payments, co-insurance, deductibles, deposits, and outstanding balances during pre-registration.
Educate patients, families, and physician offices about diagnostic test preparation and scheduling instructions.
Send or communicate appointment confirmations to referring offices.
Reconcile charge reports daily and communicate errors to staff.
Perform other duties as assigned.