Scheduling Specialist

DEPARTMENT: EEG

F ACILITY: Tift Regional Medical Center

WORK TYPE: Part Time With Benefits

S HIFT: Daytime

HOURS:

The Scheduling Specialist gathers from physician offices and/or patient information in order to schedule outpatient procedures. Ensures that patients are scheduled in a timely and appropriate manner obtaining all necessary information, interviews and pre-registers patients for outpatient /inpatient procedures, reviews all inpatient and observation admissions, and contacts the pre-certification company to provide demographic and admission diagnosis.

* Interviews patients or their representatives by phone/person obtaining personal information or verifying information on file including emergency phone numbers and insurance information.

• Effectively instructs patients with proper protocol in preparing for test ordered by the Physician.
• Effectively answers patient's questions pertaining to test and procedures ordered by the physician.
• Identifies correct patient in scheduling/registration system with Physician's office by verifying patient identifier's (SS#, DOB and Name) at the time of scheduling.
• Verifies correct procedure at time of Scheduling/Indexing in order for correct patient and patient information to be on patients Medical Record chart.
• Verifies signature, date and valid diagnosis on all orders.
• Verifies insurance information by checking eligibility to ensure insurance information is active or inactive. Communicates with physician office to any insurance discrepancies.
• Collects deductibles and co-pay/co-insurance and any other payment per hospital policies.
• Understands the MSP questionnaire to determine appropriate primary insurance.
• Understands and completes the MSP questionnaire to determine appropriate primary insurance at time of pre-registration or registration.
• Screens for Medical Necessity using Care Medic or other Medical Necessity system and communicates with the physicians’ offices for needed information at time of Scheduling, Pre-registration and registration of patient.
• Ask all pertinent questions concerning HIPAA regulations and enters information appropriately into system and distributes any information to patient.
• Verifies any communication barriers at time of Scheduling with Physician offices/Patient and enters into system.
• Ensures that the correct admitting physician is entered in the system.
• Demonstrates the ability to be flexible and organized as well as functional under stressful conditions.
• Notifies appropriate areas timely regarding add-on or STAT procedures.
• Uses available resources to ensure correct exam is scheduled.
• Reviews procedure's assigned scheduling instructions to ensure procedure is scheduled correctly.
• Enters applicable notes in the scheduling system as appropriate.
• Keys information into scheduling system an/or QCI in timely manner.
• Enters appropriate notes on all accounts including authorization numbers/ notes in order for admission/ Case Management to view all pertinent information and all other documents in a timely manner.
• Scans or indexes valid/complete orders, pre-certification/ authorizations information and all other documents in a timely manner.
• Understands and completes estimated point of service forms.
• Verifies pre certification process is complete and all accounts, notifying physician's office and patients of any denials/reschedules.
• Corrects AHIQA in a timely manner and turns in report at the end of the day.
• Completes all required projects/reports in a timely manner.
• Works reports to make sure pre-certification information is completed in a timely manner .
• Keeps abreast of pertinent federal, and state regulations and laws and Tift Regional Health System, Inc. (“TRHS”) policies as they presently exist and as they change or are modified.
• Understands and adheres to: TRHS’ compliance standards as they appear in TRHS’s Corporate Compliance Policy, Code of Conduct and Conflict of Interest Policy; and HIPAA and TRHS policies regarding privacy and security of protected health information.
• Demonstrates the ability to perform tasks that meet the age-specific requirements of the persons, patients, vendors, and staff that the employee is charged to interact with as required by the position.
• Offers suggestions on ways to improve operations of department and reduce costs.
• Attends all mandatory education programs.
• Improves self-knowledge through voluntarily attending continuing education/certification classes.
• Maintains required competency levels as identified in written exams, skills checklists, skills labs, annual safety and health requirements as well as service excellence education hours requirements.
• Cross-trains in order to better assist co-workers and to provide maximum efficiency in the department.
• Volunteers/participates on hospital committees, functions, and department projects.
• Manages resources effectively.
• Reports equipment in need of repair in order to extend life of equipment and removes malfunctioning equipment out of service with timely reporting to the appropriate personnel.
• Makes good use of time so as to not create needless overtime.
  

* High School Diploma

Or

*GED