GENERAL SUMMARY OF DUTIES - Schedules patient testing/procedures/admissions; obtains pre-cert/authorization numbers and enters in the scheduling or registration system; obtains and enters accurate insurance information; answers incoming phone calls.
SUPERVISOR - Patient Access Manager (or Supervisor)
SUPERVISES - N/A
DUTIES INCLUDE BUT ARE NOT LIMITED TO:
Answer telephone in a timely and professional manner
Schedules all patients for ancillary, surgical, and medical testing/procedures/admissions through the Meditech scheduling module
Select accurate insurance carrier plans and informs the patient or physician office staff of any carrier that is out of network or of any carrier that may result in a decrease on benefits
Inform the physician office staff or patient of any testing requirements according to the instructions and queries in the scheduling module
Ensure that any edits performed in the scheduling module are also duplicated in the admissions module
Maintain knowledge of the scheduling reports for the next day to ensure department readiness in the event of any unscheduled Meditech down-time
Work closely with the physician office staff to ensure that pre-cert/authorization numbers are entered in the scheduling or registration system
Receive incoming pre-cert mail and ensure that pre-cert/authorization numbers are entered in the scheduling or registration system
Select the correct patient medical record number consistently
Maintain open communication with the registration staff regarding those unscheduled patients presenting for services to ensure appropriate testing is performed and times are available
Edit via the scheduling module those departmental calendar changes to ensure that patients are not scheduled when personnel is not available
Acknowledge, file, and send MOX messages via Meditech
Edit medical accounts to a PRE status
Enter outpatient procedures in the Order Entry System
Pull reservations off printers, keeping clinical reservations filed according to policy. Return surgical reservations to each appropriate scheduler.
Work clinical accounts at least 2 days in advance in order for admitting personnel to use reservations for calling patients and checking patient and insurance information
Practice and adhere to the "Code of Conduct" philosophy and "Mission and Value Statement"
Other duties as assigned
High school diploma or GED required
Prior scheduling experience preferred