What are the responsibilities and job description for the Central Scheduler II - FT Days position at Valley View Medical Center?
Who We Are:
People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do. Valley View Medical Center is a state-of-the-art hospital, licensed with 52 medical/surgical beds, 16 emergency department beds, 12 acute rehabilitation beds, 12 intensive care beds, 6 major operating rooms and 2 endoscopy suites plus a modern cardiac catheterization and 8 delivery & post-partum unit with all private bed hospital in the area.
Where We Are:
The Tri-State area has sunshine almost every day of the year. The beautiful clear skies, breathtaking sunsets on mountains to the east and west of us, and a mixture of the Great Outdoors along Arizona’s West Coast (the Colorado River) plus bountiful indoor activities provide something to do for everyone of any age.
Why Choose Us:
- Health (Medical, Dental, Vision) and 401K Benefits for full-time employees
- Competitive Paid Time Off / Extended Illness Bank package for full-time employees
- Employee Assistance Program – mental, physical, and financial wellness assistance
- Tuition Reimbursement/Assistance for qualified applicants
- Professional Development and Growth Opportunities
- And much more…
Position Summary: Responsible for timely and accurate scheduling, registration, authorization and insurance verification. So when the patient comes in for appointment the patient account will be setup with correct demographics and authorization for payment by insurance patient know amount owed and how many visits have been authorized.
Handle multiple phone lines, schedule initial and returning visits for patients and check messages daily.
Ensure we have orders for all scheduled appointments.
1. Check orders of patients name, physician signature and diagnosis.
2. Make sure we have authorization on the patient.
Scheduling of patients to correct discipline.
Manage ReDoc scheduler and documentation system as well as manage all aspects of scheduling for (3) PT's (2) PTA's (1) OT and (1) SLP.
Contact insurance for benefits (requirements for authorizations, number of visits and coverage)
Is responsible for getting authorizations for evaluations and treatments.
Create patient charts for all new patients and for each month including benefits, consents, ID cards and insurance cards scanned in and any treatment notes.
Roll the accounts and drop in Redoc on evaluation day.
If a new patient is missing demographic information you will need to call the patient to obtain all information for the chart.
Run patient insurance to check benefits and eligibility, if you are unable to get on relay or internet down you will need to call insurance company to obtain information.
Estimate sheets will be made to show amount owed at time of visit, patient must be notified of the amount due, attempt to collect over the phone at this time.
1. If patient is unable to pay at the time of service contact Benefits Advisor to help make arrangements for the patient. If the patient refuses to pay at time of visit, explain that we can reschedule when funds are available.
2. If unable to get hold of patient after 3 attempts to inform them of the amount owed at time of service give to the department manager.
3. If phone is out of service contact the physician's office and see if they have a different number on file to contact the patient.
If a corrected order was requested ant still not received you will need to call the physician's office to follow up, when you receive it make sure it is signed and has correct diagnosis/ICD.
Manage the rollover of reoccurring accounts.
Check for medical necessity on all traditional Medicare patients, If ABN fails contact the physician's office for additional coding, if there is no other codes to support the necessity of the treatment contact the patient and inform them of the treatment price amount that will not be covered.
Scan in all information into accounts under the correct category.
Fax plan of care to doctors for their signatures.
Record all outpatient visits on a daily bases.
Fax Discharge notes to insurances company.
Discharge charts/deliver to Medical Records.
Organize and collection for monthly maintenance program.
Contact the therapist if their patients are here (sometimes they are in Rehab).
Open/Close money drop off monies in admitting.
Order supplies for office and Physical Therapists.
Clear out AHIQA, as well as Denial Prevention Tool daily.
Management of (10) Occurrence codes and value codes for each patient that must be input each month and/or daily.
I am Admin of Redoc. I have the privilege to un-assign treatment notes for therapists to re-do.
Plus be able to perform all the functions of the Scheduling Coordinator #I
Minimum Education
High School diploma or equivalent x Preferred
Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision.
Must be able to work in a fast paced environment and take appropriate action.
Medical Insurance experience preferred.
Required Skills
At least on year of medical office or medical scheduling experience.
Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran
