General Summary Statement
The scheduler will work collaboratively with other hospital services, medical staff, and administration to ensure that quality patient care is delivered. Actively participates in the quality of care delivered to patients and participates in departmental QC and performance improvement activities.
Essential Duties and Responsibilities
Conducts comprehensive patient interviews by obtaining accurate information such as Social Security Number, name, address, phone number, guarantor data and phone number, third party payer, etc., while verifying applicable information via on-line software. Assigns coordination of benefits in hospital information system.
Maintains and protects the patients confidentiality in accordance with Health Insurance Portability and Accountability Act (HIPAA) regulations.
o Explains and obtains signatures on the HIPAA Privacy Notice as appropriate
Verifies eligibility and benefits and obtains authorizations/pre-certifications, and referrals when applicable
o Identifies and collects co-pays from patients at the time of registration
Post payments, generates receipt for patient, perform daily cash reconciliation and adheres to daily deposit cashiering standards
o Obtains referrals as required from patients, physician offices or online resources
o Communicate with various insurance companies to ensure CPT and ICD codes are utilized on requested authorizations / pre-certifications.
o Accurately completes MSP and ABN documentation as necessary
o Scans necessary documentation into Patient Record in EDM
o Places orders in EMR as necessary
Exemplifies customer service by answering phones and interacting with patients, staff, clinicians and visitors in a timely and pleasant manner
Accepts changes in assignment in the spirit of good teamwork; accepts constructive feedback about performance or behaviors; demonstrates creative thinking and problem solving relating to issues or concerns.
Assume the role of scheduler as needed.
o Ensure complete accuracy when scheduling patients exam to include informing patients of all required information necessary on day of exam.
o Verify appointment availability for each request using the current scheduling system.
University Of Pennsylvania Health System