Outpatient Scheduling Rep I - COR Cardiology FT Days

This position performs a variety of clerical tasks including greeting and directing patients, scheduling appointments for physician visits and diagnostic tests and answering telephones. Under general supervision, the Outpatient Scheduling Rep I works cooperatively with all team members to provide front office support for the department. These tasks are performed according to department and Medical center policy.

• Greets and assists patients.
• Answers telephone calls courteously within 4 rings, identifies self and department, ascertains needs and routes/communicates to the appropriate person.
• Records and routes messages as indicated accurately.
• Receives phone calls and messages from patients, providers, and co-workers.
• Utilizes computerized message center to page doctors or call doctors when requested by other staff providers and or hospitals.
• Screens prospective new patient and correctly identify patient’s insurance.
• Verifies insurance eligibility and authorization as needed.
• Schedules appointments for physician visits, diagnostic tests and answers scheduling
• Updates and corrects demographics, insurance and financial changes necessary to maintain accurate account information.
• Maintains accurate schedules by monitoring physician and technician vacation schedules.
• Notifies patients and reschedules appointments as needed.
• Prints schedules, fee tickets, encounter forms, or other reports required for daily operation.
• Calls patient to confirm next day’s appointments when necessary.
• Notifies Answering Service with physician on-call information.
• Prepares weekend call schedule and distributes to managers.
• Updates physician call schedules and communicates changes to supervisors, operators, answering service and office staff.
• Retrieves, sorts and distributes mail daily.
• Performs all aspects of Medical Records functions when needed: including but not limited to requesting and receiving pertinent medical information eg previous records, hospital records, especially consults, tests and reports for the patient’s medical chart.
• Assists patients with completing Release of Information and Request for Information forms.
• Participates in organizing, filing and or scanning all information in the patient’s medical chart.
• Maintains scheduling portion of the computerized system by creating and updating provider and diagnostic test schedules.
• Schedules patient appointments according to department guidelines and demonstrates an understanding of the procedures being scheduled, the preparation and a basic knowledge of what the procedure will entail and authorization requirements.
• Determines if pre-authorization or referral is required for future follow-up visits and/or tests requested by the physician.
• Receives and review fee tickets from outgoing patients for completeness.
• Forwards information to Hospital Managed Care Coordinator and contacts patients to schedule and/or confirm appointment, when necessary.
• Receives approved authorization and referrals from Hospital Managed Care Coordinator and contacts patients to schedule and or confirm appointments.
• Maintains safe/clean work environment according to hospital safety and security guidelines.
• Assists with orientation and training of new employees and volunteers as assigned.
• Utilizes effective communication in all interpersonal interactions including follow-up.
• Understands basic computer programs.
• Maintains basic working knowledge of all sponsored programs such as Medicare, Medi-Cal, Tricare and all other payers; as well as contracted insurance payers and authorization requirements.
• Maintains proficient working knowledge of Medicare Secondary Payor Questionnaire policy and procedures.
• Validates patient eligibility, benefits, and medical group affiliation as well as obtaining insurance verification and notification as needed. Validation may be performed via telephone, payer website, or hospital registration application.
• Greets customers promptly ensuring they are taken care of in a timely and professional manner.

Number of Years Experience 2

Type of Experience Medical Office or Medical Front Office Vocational Training.

Compensation Range: $25.00- $28.38 / Hour