Scheduling Specialist - Vascular Surgery

Scripps Health • San Diego, CA

4d

About The Position

This position is exclusively available to Vascular Program staff transitioning to Scripps Health. Applications from individuals outside this group will not be considered. Responsible for interacting with patients, payers and providers to gather information necessary for accurate registration including assigning of appropriate Medical Record Number, scheduling, referral/authorization, point of service payment collection, document collection and arrival/check-in functions. Responds to customer billing and payment inquires as needed. Mentors and trains staff on departmental procedures. Responsible for accurately scheduling and re-scheduling complex patient procedures and appointments. Successful scheduling includes, but not limited to, exhibiting proficiency in the scheduling procedures, scheduling and confirming appointments according to practice guidelines, entering appropriate insurance, initiating authorizations and referrals, performing Key User duties with minimal errors. Accurately documents patient to provider communication, assessing urgency and escalating as appropriate. May manage the patient check-in and check-out process from start to finish, which includes identification verification; updating or confirming demographic and insurance information on every patient; ensuring appropriate forms are provided, signed and witnessed at the time of the patient visit; verifying coverage including benefits, authorization, pre-determination, payer specific policy exclusions or limitations to coverage, collecting any patient responsibility and accurately preparing end of day reporting or payment reconciliation as needed. Regularly displays a proactive approach to customer service by listening to the patient, taking ownership of solutions and is able to accurately identify the need to involve leadership in order to resolve concerns.

Requirements

• Must possess excellent mathematical skills and ability to handle monies
• Excellent communication and customer service skills
• Strong organizational and analytical skills; innovative with ability to identify and solve problems
• Able to adapt, prioritize and meet deadlines
• Knowledge of medical terminology, commercial and government health insurance and billing guidelines, ACA requirements, understanding of DRG's, Medical ICD9/ICD10 codes and CPT/HCPC Codes and Modifiers are required

Nice To Haves

• 2 year experience customer service or healthcare/medical office environment

Responsibilities

• interacting with patients, payers and providers to gather information necessary for accurate registration including assigning of appropriate Medical Record Number, scheduling, referral/authorization, point of service payment collection, document collection and arrival/check-in functions
• responding to customer billing and payment inquires as needed
• mentoring and training staff on departmental procedures
• accurately scheduling and re-scheduling complex patient procedures and appointments
• documenting patient to provider communication, assessing urgency and escalating as appropriate
• managing the patient check-in and check-out process from start to finish
• verifying coverage including benefits, authorization, pre-determination, payer specific policy exclusions or limitations to coverage, collecting any patient responsibility and accurately preparing end of day reporting or payment reconciliation as needed
• displaying a proactive approach to customer service by listening to the patient, taking ownership of solutions and is able to accurately identify the need to involve leadership in order to resolve concerns

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed
• Number of Employees: 5,001-10,000 employees