Location: Dover

Status: Full Time 80, Days

General Summary

The Pre-Arrival Services Center (PASC) Outpatient Scheduler schedules and pre-registers outpatient procedures for all modalities within the scope of the PASC. The Scheduler responds to provider and patient inquiries, communicates proper preparation instructions to patients, and collects demographical, medical, and financial information crucial to patient care and hospital reimbursement, while maintaining compliance with applicable regulatory requirements.

Essential Functions & Accountabilities

1) Scheduling of patients: Precisely identifies all patients, using the national patient identifiers and schedules patient appointments in the EPIC Electronic Health Record (EMR)system based on information provided by a physician’s electronic or written order via fax or phone call. Schedules based on established templates and protocols, maintains a proficiency in transcribing and ordering the correct tests, and communicates all applicable preparation instructions. Coordinates the appropriate sequence of multiple exams for the same patient, and documents any medical conditions related to the patient’s physical condition. Works with the Health Information Management Department and Outpatient Registration staff to add ordering providers into relevant database(s), as needed.

2) Coordination of specialty involved procedures: Utilizes monthly physician and weekly assignment schedules to coordinate procedures that require a specifically requested physician, taking provider availability and physical location into consideration

3) Insurance Requirements: Maintains a basic working knowledge of insurance companies and the procedures which require payer authorizations. Notifies providers and patients of requirements during scheduling process.

4) Exam requirements: During the scheduling process, the scheduler must provide the referring physician’s office or the patient with the following information:
a) The location of where the patient needs to present for their exam
b) Any required preps and/or lab work for their procedure(s)
c) Advise the patient and/or office of the need for any insurance authorizations
d) If the patient has indicated that there are outside images or relevant studies, requests that the patient obtain the documentation and bring them in for the scheduled appointments.

5) Pre-registration of patients: Performs pre-registration functions in the EPIC system at the time of scheduling. Enters and confirms all demographic and financial information, and scans physician orders and related documentation. All applicable insurance plans are accurately entered and in the correct sequence, payer eligibility and benefits are verified, and corresponding account notes are entered.

6) Auditing: Regularly resolves outstanding account issues in departmental work queues.

7) All other duties as assigned within the scope and range of job responsibilities

Required Education and Experience

Education: High School Diploma, GED, or equivalent required; Associates degree preferred.

Experience: Six months experience in a healthcare, hospitality, or customer service call center setting required; or in lieu of experience, a graduate of Medical Assistant or Medical Billing program. One year medical office experience preferred.

Computer/Software Knowledge: Basic Microsoft Office experience and minimum Typing speed of 30wpm. Experience with Epic EMR or similar preferred.

Licensure / Certification: CHAA (Certified Healthcare Access Associate) or similar credential preferred, but not required.

Additional: Basic knowledge of medical terminology; outpatient diagnostic screening, routine procedures & services; and relevant pre-procedure preparations.