Job details

Outpatient Clinical Scheduler

Overview:

Provides basic clerical, receptionist duties as outlined in current policy/procedure to support department operations. Enters physician orders, obtain lab values, and medical history from current HIM system. Schedules cases accurately and efficiently in conformance with applicable guidelines to facilitate quality patient care while maintaining accurate patient records. Obtains all required insurance documents and obtains procedural authorization and, or pre-certification when required. Assists staff as directed with basic routine patient care activities.

Responsibilities:

Performs all medical reception duties, including but not limited to answering phones, routine ordering/stocking of non procedural related supplies, scheduling appointments, PAT reservations, contacting patient to confirm scheduled appointments and notifies patient logistics of routine admissions for scheduled outpatient procedures.
Gathers complete patient and procedure information and collaborates with physician's office to schedule cases while negotiating date and time and avoiding resource conflicts. Works with Interventional Radiology Director to schedule physician specific cases to maximize efficiency and productivity.
Obtains pre-certification and authorizations from various insurance carriers according to current requirements to facilitate maximum utilizations and efficiency with minimal procedural related problems.
Ensures all appropriate staff, patients, departments, and external resources are notified of additions, changes, and cancellations to the daily, weekly, and monthly schedule
Reviews promptly with ordering Physician routine issues, difficulties, and unusual circumstances that may delay; cause insurance denials, or other scheduling concerns to allow for appropriate resolution.
Obtains and advises patients of all necessary pre-certification and referrals needed for financial reimbursement and when required verifies all related authorization are obtained twenty-four hours before date of service.
Interacts with patients, staff and physicians, in a courteous and professional manner. Implements service recovery skills as appropriate in problem solving situations and know when to address issue to Manager/ Director.
Demonstrates willingness to assist co-workers by entering physician orders, transporting lab specimens, as well as with basic patient care needs/ activities during heightened departmental volumes.
Oversees filing of information into medical records according to established protocol, the preparation, pulling and filling of charts and the purging of charts for effective file management.
Takes accurate and complete messages, relays information, pages personnel and other departments, and physicians as needed, notifies appropriate staff of clinical significant or urgent situations arises.
Assists and supports with the training and education of other staff related to the scheduling and insurance verification process.
Works with charge nurse to coordinate with nursing units and other departments to help facilitate the movement of patients into and out of the procedural unit. Updates patient logistics of patient up/ downgraded as directed.
Supports departmental Performance Improvement Projects and aligns daily activities with organizational and departmental goals.
Performs clerical duties including, but not limited to processing mail, confirming appointments, sending out follow-up notices, and maintaining statistics.
Greets all patients and visitors in a professional and welcoming manner. Informs patient of privacy policies and procedures; informs patients of delay’s in physician schedules, assists with patient comfort while delayed.
Performs other duties as assigned.

Requirements:

High school diploma or GED.
Experience in a healthcare setting or customer service. Medical office, health access related, insurance verification, or scheduling experience preferred.
Strong verbal and written communication skills. Strong interpersonal and organizational skills. Knowledge with variety of insurance companies preferred.
Proficient computer skills. Familiarity with medical terminology.

Frequent physical demands include: Sitting

Occasional physical demands include: Standing, Walking, Climbing (e.g., stairs or ladders), Carry objects, Push/Pull, Twisting, Bending, Reaching forward, Reaching overhead, Squat/kneel/crawl, Keyboard use/repetitive motion

Continuous physical demands include: Wrist position deviation, Pinching/fine motor activities, Talk or Hear

Lifting Floor to Waist 15 lbs. Lifting Waist Level and Above 10 lbs.

Sensory Requirements include: Accurate Near Vision, Accurate Far Vision, Accurate Depth Perception, Accurate Hearing

Our Network:

Offers are contingent upon successful completion of our onboarding process and pre-employment physical. Capital Health will require all applicants (including contractors, travelers and consultants) to have an annual flu vaccine and to have a completed COVID-19 vaccine prior to start date, with the exception of individuals with medical and religious exemptions.

"Company will never ask candidates for social security numbers or date of birth during application phase. If you are asked for this information online, you may be a target for identity theft."

Capital Health System Glassdoor Company Review

3.6

Capital Health System DE&I Review

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CEO of Capital Health System

Al Maghazehe

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By Capital Health System

Capital Health is the region’s leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Comprised of two acute-care hospitals (Regional Medi...

15 jobs

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INDUSTRY

Health Care Services & Hospitals

TEAM SIZE

1001-5000

LOCATION

Hybrid, based in Trenton, NJ

DATE POSTED

June 9, 2023