This position is responsible for collecting data required for confirming scheduled appointments for outpatient hospital services directly from patients and referring physician offices. This position also involves working closely with the ancillary departments to ensure that patients are given the procedure specific protocols needed to facilitate the highest quality exam. The Scheduler services one or more hospital facilities and reports to the entity-specific Supervisor – Onsite Patient Access Services.
Collect necessary data elements (e.g., demographic, insurance information) to schedule appointment and enter into scheduling and patient management systems.
Collaborates with ancillary departments to ensure the proper protocols are being given to callers regarding testing.
Follow up with patients and referring physician offices to ensure all necessary data elements are collected and validated.
Responsible for identifying when the need for an interpreter exists, and coordinating the service with the translation vendor and the ancillary department.
Responsible for coordinating patient transportation (identifying the need for Para-lifts, protective oversight, and any other unique circumstances) for outpatient services, when applicable.
Daily focus on attaining productivity standards, recommending new approaches for enhancing performance and productivity when appropriate.
Maintain appropriate records, files and timely and accurate documentation in the patient business cycle systems.
Ensuring that there is a complete physician order in place before the time of service, as to not delay patient care.
Responsible for identifying any potential risks to patient safety in regards to testing protocols, and/or patient mobility and communicating with the appropriate departments.
Responsible for identifying when there are potential identity red flags, and communicating as appropriate.
Responsible for identifying any potential risks over lays, and either correcting, when applicable, or communicating as appropriate for resolution.
Perform medical necessity checks and initiate ABN issuance and education to patient, as necessary.
Performs Pre-Registration on all pre-scheduled patients to assist Patient Processing insurance verification and precertification.
Successfully complete 175-200 scheduled patients and pre- registration per week.
Works well with patients and family members to obtain pre- registration information for their upcoming appointment prior to the date of service. Verifies patient demographics and insurance information for correct billing purposes. Advises patients of direction upon arrival and preparations if any are required per test.
Works closely with precertification staff to aid in the timely completion of precertification for certain insurance companies. Notifies the precertification staff of any changes to scheduled appointment or insurance modifications.
Initiates pre-collect on upcoming appointments assisting the patient in selecting the best payment method for their financial need and assure a sound Accounts Receivable for the organization.
Reviews and understands multiple electronic processes of the registration system. Verifies insurance information on the RTE system for multiple insurances, reviews address credit checker for accurate address information. Maintains accuracy of all information gathered striving for a 99% accuracy rate.
***SSM Health will implement a new minimum wage of $11 per hour throughout its four-state system which will take effect in January 2017. This job is one impacted by this increase. Learn morehere ***
Requires High School diploma or equivalent
One year of experience required
Ability to work independently at off – sites locations with limited supervision
The ability to work in a diverse call center environment
Critical thinking skills required
Clear understanding of the impact scheduling services has on patient business services operations and financial performance
Exceptional customer service skills and phone etiquette.
Medical terminology highly recommended
About SSM Health - System Office:
SSM Health is one of the largest Catholic health systems in the country and is dedicated to quality and compassionate care for anyone in need, regardless of ability to pay. Based in St. Louis, where its System Office is located, SSM Health operates 20 hospitals in Wisconsin, Illinois, Missouri and Oklahoma. We provide care in various settings: outpatient sites, physician offices, a pharmacy benefit company, an insurance plan, hospitals, nursing homes, home care, hospice, telehealth and a technology company.Our Mission: Through our exceptional health care services, we reveal the healing presence of God.
You’ve known us as many names throughout St. Louis, and now, we’re bringing our hospitals, doctors, home care and other services together under one name – SSM Health. With seven hospitals, 350+ physicians, more than 40 physician locations and 12,000 employees, we are part of something bigger and better. We’re connected to a wealth of resources, expertise and advance technology to help you, your fa...mily and our community live long, healthy lives.
We’ve grown and changed a lot over our 143-year history. Our name may be changing but our mission remains the same