Health Access Scheduler

Job Description

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a five-time Magnet-Recognized health system for nursing excellence and is comprised of 2 hospitals. Capital Health Medical Group is made up of more than 250 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region.

Position Overview

• Answers scheduling calls quickly while minimizing time customers are on hold.
• Collaborates with physician’s office to schedule cases while negotiating date and time and avoiding resource conflicts.
• Gathers complete patient and procedure information and enters data accurately into database. Obtains and advises patients of all necessary pre-certification and referrals needed for financial reimbursement.
• Completes MSP form timely and accurately. Understands and utilizes the necessary software program to determine "medical necessity" prior to scheduling a Medicare patient.
• Informs all patients of pre-registration option and pre-registers all patients when information is obtainable.
• Ensures that all appropriate staff, patients, departments, and external resources are notified of additions, changes, and cancellations.
• Verifies all authorizations are obtained twenty‑four hours before date of service.
• Follows out‑of‑network procedures.
• Adheres to CH attendance policy as well as interdepartmental policies and procedures.
• Attends all mandatory departmental meetings.
• Performs all other duties as assigned.

Minimum Requirements

• Education:
  
  High school diploma or equivalency.
• Experience:
  
  One year of call center or customer service experience assisting patients within a hospital or medical environment.
• Knowledge and
  
  Skills:
  
  Working knowledge of medical terminology. Displays strong customer service and communication skills to properly assist patients' needs.
• Special Training:
  Strong attention to detail.
• Mental, Behavioral and Emotional Abilities:
  Ability to multi‑task and navigate between systems simultaneously. Ability to handle a large volume of incoming calls. Manages time and works well in a fast‑paced environment.

Physical Demands and Work Environment

• Frequent physical demands:
  Sitting.
• Occasional physical demands:
  Standing, Walking, Climbing (e.g., stairs or ladders), Carrying objects, Push/Pull, Twisting, Bending, Reaching forward, Reaching overhead, Squat/kneel/crawl.
• Continuous physical demands:
  Wrist position deviation, Pinching/fine motor activities, Keyboard use/repetitive motion, Talk or Hear.
• Lifting Floor to Waist 15 lbs. Lifting Waist Level and Above 10 lbs.
• Sensory Requirements:
  Accurate Near Vision, Accurate Far Vision, Accurate Depth Perception, Accurate Hearing.
• Anticipated Occupational Exposure Risks:
  Bloodborne Pathogens, Airborne Communicable Disease, Dust/Particulate Matter.

Benefits

• Medical Plan
• Prescription drug coverage & In‑House Employee Pharmacy
• Dental Plan
• Vision Plan
• Flexible Spending Account (FSA)
• Healthcare FSA
• Dependent Care FSA
• Retirement Savings and Investment Plan
• Basic Group Term Life and Accidental Death & Dismemberment (AD&D) Insurance
• Supplemental Group Term Life & Accidental Death & Dismemberment Insurance
• Disability Benefits – Long Term Disability (LTD)
• Disability Benefits – Short Term Disability (STD)
• Employee Assistance Program
• Commuter Transit
• Commuter Parking
• Supplemental Life Insurance
• Voluntary Life Spouse
• Voluntary Life Employee
• Voluntary Life Child
• Voluntary Legal Services
• Voluntary Accident, Critical Illness and Hospital Indemnity Insurance
• Voluntary Identity Theft Insurance
• Voluntary Pet Insurance
• Paid Time‑Off Program

Pay
: $18.57 – $26.98 per hour.
Scheduled weekly hours
: 40 hours.
Position type
:
Full‑time equivalent (1.0 FTE). Salary applies specifically to the position advertised and does not include potential bonuses, incentive compensation, differential pay or other forms of compensation. Actual total compensation may vary based on factors such as experience, skills, qualifications and other relevant criteria.