Job Description:The Enhanced Scheduler is responsible for registering and
scheduling patients at Intermountain Healthcare facilities system-wide
ensuring that processes and procedures exceed customer expectations. This
position enhances the patient experience with one telephone call to schedule
and register for services. The Enhanced Scheduler reviews insurance benefit
information, estimated costs, and payment options with the patient. Also
obtains or reviews all necessary demographic, clinical, procedural, and
prep information with the patient or representative. This position also
enhances the Provider experience by offering a single point of contact for the
referring offices. The Enhanced Scheduler acts as a liaison between the
physician office and facility departments across multiple service lines within
the enterprise.
Monday-Friday 7:30-4:30
Scope
1.Maintains the surgery schedule, providing necessary information to
patients andphysicians.
2. Coordinates, registers and schedules appointments for patients according
to availability.
3. Conducts patient pre-certification on proper insurance approval for
appointments and medical care.
4. Ensures all pre-operative required tests needed prior to surgery, are
scheduled and completed.
5. Coordinates and ensures necessary equipment is ordered, room
availability/scheduled, pre-surgery medication, etc. is arranged prior
to scheduled procedure.
6. Communicates detailed information and answers patients' questions
regarding surgery preparation instructions, arrival / departure
instructions relative to procedure.
7. Schedules any necessary follow-up appointments, as directed by physicians.
8. Receives and screens calls relating to problems that may arise due to date
changes and any reasons for cancellation.
9. Escalates non-routine issues to the practice manager or physician.
10. Greets patients. Answers phones, takes messages, returns calls and
provides needed information, while documenting all phone calls accurately
and completely in the electronic medical record (EMR).
11. Schedules patient appointments for visits, procedures, diagnostic
tests, referrals and/or consultations.
12. Registers patients. Confirms, enters, and/or updates all required
demographic data on patient and guarantor on registration system. Follows
procedures when identifying patients.
13. Obtains copies of insurance card(s), forms of ID, and
signature(s) on all required forms. Verify information on appropriate
accounts to determine insurance coordination of benefits,
pre-certification/prior-authorization. Complete the Medicare Secondary Payer
(MSP) questionnaire when applicable. Verifies insurance to determine
coordination of benefits and obtains authorization and/or referrals as
required. Screens for non-covered services and waiver of liability (ABN)
through automated screening at time of service.
14. Informs self-pay patients of liability due and prepayment requirements.
Prepare estimate of procedures, calculates advance payment requirements on
previous or bad debt and current balances. Refer potentially eligible patients
to financial counseling and/or contract eligibility vendor(s). Refer
complex or non-compliant patient financial issues to Clinic Manager or Revenue
Service Center.
15. Collects patient payments and provides accurate receipt. Posts payments in
system. Reconciles receipts with cash collected and complete required
balancing forms. Documents patient account notes for all
interactions/transactions.
16. Maintains department and/or individual work queues and reports as
required.
17. Prepares medical records for patient appointments by compiling information
from various sources to include authorizations and non-Epic documentation.
Accurately scans medical records as required for Medical Group or specialty
office.
18. Promotes mission, vision, and values of SCL Health, and abides by
service behavior standards.
19. Performs other dut es as assigned.
Minimum Qualifications
Required
High school diploma or equivalent is required
Two (2) years related experience in a health care organization is required
Preferred
To perform this job successfully, an individual must be able to perform each
essential dutysatisfactorily. The requirements list must be representative of
the knowledge, skills, minimum education, training, licensure,
experience, and/or ability required. Reasonable accommodations may be made
to enable individuals with disabilities to perform the essential functions.
1. Regular attendance to perform work on site during regularly scheduled
business hours or scheduled shifts is required
2. Demonstrate understanding of health insurance, medical costs, medical
terminology.
3. Excellent customer skills, in person and via telephone.
4. Strong communication skills.
5. Proficient computer skills.
6. Possess a strong work ethic and a high level of professionalism.
7. A team player who handles multiple projects simultaneously in a fast paced
environment.
Physical Requirements:Interact with others by effectively communicating,
both orally and in writing.- and -Operate computers and other office equipment
requiring the ability to move fingers and hands.- and -See and read computer
monitors and documents.- and -Remain sitting or standing for long periods of