Demo

Central Scheduling - Scheduler - Full-Time

Wayne Hospital Company
Greenville, OH Full Time
POSTED ON 2/22/2025
AVAILABLE BEFORE 5/21/2025

Job Description

Job Description

This full time position will be for day shift working in Central Scheduling. This position is responsible for schedule of all inpatient and outpatient-scheduled assigned appointments. The individual will be cross-trained to multiple areas. This position reports to the Director of Central Scheduling.

Qualifications :

  • Prior experience with Medicare, Medicaid, and other insurance plans related to medical coverage offered by these plans and understanding of pre-certification, pre-determination, and medical necessity of these plans preferred.
  • Knowledge of medical terminology required
  • Minimum of three years’ experience in health care field preferred
  • Associates degree in Medical Office Administration or related field preferred

Responsibilities / Skills :

  • Responsible for scheduling of all inpatient and outpatient-scheduled assigned appointments for laboratory, cardiopulmonary and radiology departments from physicians, physician offices, patients and hospital staff
  • Responsible for contacting insurance companies for verification of benefits, pre-authorization, and follow up on pre-certification.
  • CPT coding and patient needs related to their diagnosis for appropriate scheduling and insurance reimbursement
  • Analyzes patient’s financial responsibilities and attempts to collect payment at time of scheduling / precertification.
  • Offers financial counseling to patient if deems necessary.
  • Provides special instructions for procedures and directions to facilities and departments. Performs report reconciliation and charge verification card in pulmonary and radiology departments from physicians, physician offices, patients and hospital
  • Contacts physician offices for patient information, op orders, medical necessity and prior-authorization requirements when needed
  • Coordinates information with Case Management regarding pre-certification requirements (for inpatient and outpatient surgeries)
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