Infusion Center Scheduler
2 weeks ago
Work Shift:
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 advance technology.
Capital Health Medical Group is made up of more than 250 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region.
Position Overview:
SUMMARY (BASIC PURPOSE OF THE JOB)
Collaborates with physician offices, hospital clinic or directly with patients to schedule Capital Health Infusion Center treatments in a timely manner.
Works closely with the Infusion Center supervisor or charge nurse to schedule and maximize utilization of nursing time, productivity and resources.
Gathers complete patient and procedure information for each treatment for accurate patient registration and billing. Is a resource for the physician offices on how to obtain pre-certification and authorizations from the various insurance carriers. At time of scheduling, verifies patient eligibility and accuracy.Performs all medical receptionist duties, including greeting patients, answering phone calls, scheduling appointments and follow-up care and maintains the patient's medical record.
Works closely with the finance department on claim denials to assist in the appeals process.MINIMUM REQUIREMENTS
Education:
High school diploma or GED.
Experience:
Six months medical office or hospital setting experience.
Other Credentials:
Knowledge and Skills:
Excellent communication, interpersonal and organizational skills. Ability to problem solve and multi-task. Able to multi-task and manage frequent interruptions.
Special Training:
Proficient computer skills. Familiarty with medical terminology and endoscopic and/or surgical procedures and experience with variety of insurance companies preferred.
Mental, Behavioral and Emotional Abilities:
Usual
Work Day:8 Hours
REPORTING RELATIONSHIPS
Does this position formally supervise employees? No
If set to YES, then this position has the authority (delegated) to hire, terminate, discipline, promote or effectively recommend such to manager.
ESSENTIAL FUNCTIONS
- Collaborates with physician offices, hospital clinic or directly with patients to schedule Infusion Center patients, negotiating date and time, and avoiding resource conflicts (chairs,rooms, nurses, equipment). Performs this task in a timely manner. Coordinates special procedure needs with appropriate CH departments and staff, as well as external resources.
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Works closely with the Infusion Center supervisor or charge nurse to schedule and maximize utilization of nursing time, productivity and resources.
- Gathers complete patient and procedure documents for each treatment to assist in patient registration and billing. These documents include the treatment prescription, patient demographics, financial information, consent (if appropriate) and a history and physical completed within 30 days.
- Is a resource for the physician offices on how to obtain precertification and authorizations from various insurance carriers (both innetwork and out of network payers)to facilitate maximum utilization and efficiency and mínimal procedurerelated problems. Keeps uptodate log sheets of procedure codes and works closely with the CH Finance Department to ensure that the coding is accurate.
- Verifies that the insurance precertification and authorization is accurate and contains the necessary codes. Confirms that all physician orders are billable and contains the necessary information (diagnostic code, CPT code or description, order date, frequency and physician signature). Verifies benefit eligibility using a variety of online systems or by calling the insurance company.
- Coordinates interdepartment services and resources for patients. Assists in preparing accurate weekly volume reports for the pharmacy to be able to order all necessary drugs. Coordinates on a daily basis with the blood bank to ensure proper blood bank resources and supplies are available. Communicates with hospital transport and outside transportation resources to schedule patient transportation. Schedules diagnostic testing for patients.
- Works independently to assure prompt patient service both on the telephone and at the front desk. Oversees the registration and checkout process and the handling of medical records to assure efficient flow of patients through the office. Maintains positive working relationships with all physician offices, hospital departments and outside vendors.
- Reviews promptly with supervisor routine issues, difficulties and unusual circumstances. Handles promptly patient problems/complaints. Refers difficult situations to supervisor and Director.
- Performs all medical receptionist duties, including but not limited to, greeting patients, answering phone calls, schedu
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