Corporate Scheduler I - Pensacola, United States - Baptist Health Care

Description

Job Description

The Corporate Scheduler is responsible for scheduling outpatient diagnostic services for patients and physicians' offices within the Baptist Health Care system.

Responsibilities

Proficient in scheduling in all modalities within Scheduling System.

Proficient with registration process including strong understanding of insurance payors and plan codes, along pre-cert / authorization criteria needed for scheduling and performing services.

Performs and delivers excellent customer service to all customers:
patients, physicians, & ancillary service lines.

Maintains Baptist Health Care goals of scheduling, registration accuracy, insurance verification, pre-registration, pre-certification, up-front collections, and other healthcare industry standards or trends in which the Call Center metrics of measurement is based.

(Length of call; quality of call; accuracy of patient demographics and scheduling information). Understands fully all functionality of all PASS software systems utilized.

Meets current regulatory and compliance standards, including HIPPA and Identity Theft "Red Flag Rules" by ensuring all patients are properly identified prior to scheduling.

Coordinates with physician offices as needed to obtain appropriate authorizations required by Payers for services ordered by physician.

Coordinates with care management, financial counselor, and registration case managers to inform them of authorized or available days for inpatients.

Refer inpatient accounts to Bed Hub, and or admitting Nurses for clinical justifications for pre-certification as necessary. Utilizes resource management system to document, view and update statuses as needed.

Reviews and updates the patient's account to ensure the hospital has accurate and current information to process claims and to obtain payment including complete documentation of benefits, authorization information, and patient financial responsibility including Hospice admissions or other insurance changes as required.

Contacts patients to inform of them of their financial liability 3 days prior to date of scheduled service date.

Ensure Financial Clearance protocol has been completed, which includes collecting patient liability prior to service; establishing payment plan with accepting a deposit; referrals to Medicaid Eligibility; and or referral to Financial Counselor.

Reschedules/defers patients whom financial clearance cannot be completed or authorizations have not been obtained for and notifies supervisor, ancillary departments, and physician office of deferral process.

Tracks productivity and provides cumulative reports on a daily, weekly, or monthly basis, as required by supervisor and /or manager.

About Us

Baptist Health Care is a not-for-profit health care system committed to improving the quality of life for people and communities in northwest Florida and south Alabama.

The organization includes three hospitals, four medical parks, Andrews Institute for Orthopaedic & Sports Medicine, and an extensive primary and specialty care provider network.

With more than 4,000 team members, Baptist Health Care is one of the largest non-governmental employers in northwest Florida.