- Interacting with patients, payers and providers to gather information necessary for accurate registration including assigning of appropriate Medical Record Number, scheduling, referral/authorization, point of service payment collection, document collection and arrival/check-in functions.
- Responding to customer billing and payment inquires as needed.
- Mentoring and training staff on departmental procedures.
- Accurately scheduling and re-scheduling complex patient procedures and appointments. Successful scheduling includes, but is not limited to, exhibiting proficiency in the scheduling procedures, scheduling and confirming appointments according to practice guidelines, entering appropriate insurance, initiating authorizations and referrals, performing Key User duties with minimal errors.
- Accurately documenting patient to provider communication, assessing urgency and escalating as appropriate.
- May manage the patient check-in and check-out process from start to finish, which includes identification verification; updating or confirming demographic and insurance information on every patient; ensuring appropriate forms are provided, signed and witnessed at the time of the patient visit; verifying coverage including benefits, authorization, pre-determination, payer specific policy exclusions or limitations to coverage, collecting any patient responsibility and accurately preparing end of day reporting or payment reconciliation as needed.
- Regularly displaying a proactive approach to customer service by listening to the patient, taking ownership of solutions and is able to accurately identify the need to involve leadership in order to resolve concerns.
- Must be able to demonstrate proficiency of Microsoft computer applications with a minimum score of 80%.
- Must possess excellent mathematical skills and ability to handle monies.
- Excellent communication and customer service skills.
- Strong organizational and analytical skills; innovative with ability to identify and solve problems. Able to adapt, prioritize and meet deadlines.
- Knowledge of medical terminology, commercial and government health insurance and billing guidelines, ACA requirements, understanding of DRG's, Medical ICD9/ICD10 codes and CPT/HCPC Codes and Modifiers are required.
- 2 or more years of experience in a customer service or healthcare/medical office environment.
- Previous scheduling experience.
- Experience with Epic.
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Scheduling Specialist - San Diego, United States - Scripps Health
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Description
Scripps Health Administrative Services supports our five hospitals and 19 outpatient facilities, which treat half a million patients annually through 2,600 affiliated physicians.
At Scripps Health, you will experience the pride, support, and respect of an organization that has been repeatedly recognized as one of the nation's Top 100 Places to Work.
This Scheduling Specialist position supports the scheduling needs for the Ophthalmology department at our Scripps Clinic Torrey Pines. Primary duties include scheduling and calendar support. This position involves heavy phone usage.
Routine Scheduling Specialist responsibilities may include:
This is a Casual (per diem, non-benefitted), Day Shift position (hours will vary but would be between Monday - Friday from 8AM - 5PM), located at Scripps Clinic Torrey Pines.
Required Qualifications:
Preferred Qualifications:
All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, sexual orientation, or gender identity/expression), age, marital status, status as a protected veteran, among other things, or status as a qualified individual with disability.
Position Pay Range:
$23.41-$33.69/hour