Scheduling Specialist

Full time Day Shift

General Summary:

The Scheduling Specialist obtains demographic, clinical and financial insurance information during the process of making appointments for patient test and procedures. Performs pre-registration activities and initiates, evaluates and responds to results of real-time eligibility verification. The Scheduling Specialist provides instructions to the patient on test preparation; prints and mails patient itineraries if lead time is sufficient. Validates medical necessity / Local/National Coverage Determinations (LCD/NCD) of requested cases to support clinical and financial clearance functions. Initiates reschedule of appointments, when appropriate. Supports the Mission of Trinity Health and Holy Cross Hospital. Other Duties as Assigned.

Job Title:

Scheduling Specialist

Employment Type:

Full-Time

Shift:

Days

Position Highlights:

• Competitive pay
• Additional Benefits: Relocation assistance, tuition reimbursement, free parking
• Quality of Life:Flexible work schedules
• Location:Holy Cross Health has two hospitals and four healthcare centers all a short driving distance from Washington DC and Baltimore, MD

Description:

• Full-Time
• Obtains demographic, clinical and financial insurance information during the process of making appointments for patient test and procedures.
• Performs pre-registration activities and initiates, evaluates and responds to results of real-time eligibility verification.
• Provides instructions to the patient on test preparation; prints and mails patient itineraries if lead time is sufficient.
• Validates medical necessity / Local/National Coverage Determinations (LCD/NCD) of requested cases to support clinical and financial clearance functions.

Responsibilities:

• Minimum of two (2) years' experience within a healthcare provider and/or payer environment performing appointment/centralized scheduling activities in a hospital, physician office and or medical facility, preferable. Experience in performing Patient Access activities is a plus. Familiarity with third party/insurance payers, medical terminology and ICD-10 and CPT coding preferred.
• Must be able to perform audit functions in a concise, timely and professional manner to include: data retrieval and review; error identification and correction; documentation and display of data in a concise, understandable format; identification of trends; and recommendation of process/system improvements.
• Must be able to set and organize own work priorities and adapt to them as they change frequently.
• Must be able to work concurrently on a variety of tasks/projects in an environment that may be stressful with individuals having diverse personalities and work styles.
• Must be able to manage multiple workplaces demands and set realistic and attainable priorities related to such.
• Exceptional communication (written and oral) with the ability to convey complicated information to customers. Fluency in both English and Spanish preferred. Interpersonal skills are necessary in dealing with internal and external customers, including the ability to interpret customer requirements, recommend and take action to satisfy the customer’s needs.

What you will need:

Required:

• High school diploma or GED
• Two-year college degree or equivalent experience, preferred.
• Professional Certification through AAHAM, NAHAM or HFMA preferred, not required

About us:

Holy Cross Health is a Catholic, not-for-profit health system that serves more than 240,000 individuals each year from Maryland's two largest counties — Montgomery and Prince George's counties. Holy Cross Health earns numerous national awards, clinical designations and accreditations across a wide range of specialties for providing innovative, high-quality health care services.

We were named one of America’s 100 Best Hospitals for 2021.

Holy Cross Health is an Equal Employment Opportunity (EEO) employer

Our Commitment to Diversity and Inclusion

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.