Patient Access Scheduler Part Time - Stroke Clinic
Hours: Monday-Friday from 9am-2pm
Serves as first point of contact for customers of TMC HealthCare; initiates the entry point for requested healthcare services and revenue management. Responsible for computerized patient registration and scheduling as well as insurance verification to include validation of authorizations and/or benefits information for ancillary procedures. Maintains and fosters effective public relations with patients and visitors. In addition to the essential function the Patient Access Scheduler for the Cardiac Services – Non takes vital signs, & weighs patients, performs EKG’s and documents results in the EMR. Maintains patient safety and infection control standards; promotes a safe therapeutic environment that allows for the delivery of high quality patient care. Cleans and prepares rooms between procedures and discharges; monitors and restocks supplies. Obtain and secure patient information, prepare patients for examinations, counsel patients by transmitting physician orders, documents medical information, and provide basic patient care under the direction of the providers, management, and policies. Obtain prior authorizations, manages referrals, assists with the scheduling of procedures and performs other related tasks to assist physician and patients. Calls patients regarding test results, follow-up appointment visits, and missed appointments. Transcribes order and schedules patient visits/appointments and assists with their medical needs. Processes patient charges as required. Operates a personal computer, calculator, Fax machine, copy machine or related office machinery in performing assigned duties.
Exhibits excellence in customer service through appropriate attitude and interaction with all patients, visitors and staff; adheres to and supports team members in exhibiting TMCH values of integrity, community, compassion, and dedication.
Collects deposits or deductibles and advises patient or guarantor of insurance benefits and anticipated cost estimates; ensures that cash handling follows corporate policies.
Ensures completion of financial documentation in accordance with TMCH’s credit and collection policies.
Explains all necessary compliance forms and obtains patient signature as required for regulatory agencies.
Performs medical necessity screening and ensures compliance with system requirements.
Assists outpatient departments with minor system maintenance, to include closing resources, opening resources, performing overbook and override as requested.
Interacts with physicians and/or physicians’ office staff to secure diagnosis, procedure details or authorization information as needed.
Communicates with Medical Records and Professional Staff Services as necessary.
Uses medical terminology and scheduling knowledge to select correct procedure when scheduling and coordinates information with other departments as needed.
Demonstrates knowledge of resources, staffing, instrumentation, and equipment specific to procedures to avoid scheduling conflicts.
Performs patient registration activities to ensure accurate financial and biographical data and documentation have been obtained and properly entered into hospital records.
Completes insurance processing; including account creation, insurance verification, notification, and authorization functions
Communicates with departments/physicians for special requests, emergent cases, overbooking and add-ons; informs management about issues/problems with tools/times.
Handles incoming telephone calls and exercises judgment in scheduling caller for correct procedure in appropriate service area; receives telephone requests to schedule from patients, physicians, physician office staff, employers, and hospital personnel, if applicable.
Explains procedure preparations to patients so they are properly prepared before arriving at the hospital as needed.
Documents all notification, authorization and eligibility information in the registration systems, uses electronic verification tools and web-based resources.
Adheres to TMCH organizational and department-specific safety, confidentiality, values policies and standards.
Reconciles daily cash drawer.
May prepare and reconcile daily deposits.
Performs related duties as assigned.
EDUCATION: High School diploma or General Education Degree (GED), completion of vocational medical office training desired, or an equivalent combination of relevant education and experience.
EXPERIENCE: Two (2) years of medical office and/or hospital experience to include six months healthcare eligibility and benefit analysis or scheduling experience for diagnostic testing and/or surgery.
LICENSURE OR CERTIFICATION: Heartsaver CPR (HSCPR or HSFACPR) certification required within ninety (90) days of employment for Pediatric Therapies and Adult Therapies departments only.