Central Scheduling Scheduler

Central Scheduling Scheduler

Central Scheduling Scheduler - Central Scheduling

Day Shift, FTE Full-time

Saint Anthony Hospital is a diverse and community-centric organization in which one’s career and thrive in, while addressing the health and wellness challenges that families in our neighborhood face. Our employees deliver on our mission and achieve success by working together to provide excellent customer service and patient care.

As part of Saint Anthony Hospital’s commitment to providing the highest quality health care, we will be building a new state-of-the-art hospital to serve as an anchor to the Focal Point Community Campus. Learn more at focalpointchicago.org.

Position Purpose :

Under the direction of the Scheduling Manager, is responsible for scheduling and pre-registering request for procedures / tests received from physician(s) offices and patient(s) are processed in an accurate and timely manner using the manual and automated scheduling systems. Obtains pertinent demographic, insurance and financial information and completes the pre-registration and financial screening process while ensuring medical necessity and payor guidelines for authorizations are met.

Handles all routine patient inquires related to the scheduling and pre-registration process. Maintains accurate records associated with the scheduling, and the processing of patient documentation. Able to manage multiple tasks with an excellent orientation to professional customer service.

Checks daily prior authorization reports and list of surgeries, outpatient schedules to check all patient are accounted for. Calls and obtains via online portal, any required referrals, pre-authorizations, pre-registration and authorization and RQI or tracking numbers for applicable accounts to assure reimbursement and minimize denials.

Enters complete and accurate notes in Meditech Expanse regarding benefits and pre-authorizations and other pertinent information in a timely manner. Reviews and updates incorrect patient, guarantor or insurance information entered in Meditech as necessary. Uses existing tools / resources to minimize denial of claim / lost revenue.

Calls patients with a group or private insurance that has a deductible, co-pay, or co-insurance to meet. Explains benefits and payment options and makes appropriate deposit and initial payment arrangements or provides information about our financial assistance program. Refers to Financial Counselor any patient who expresses financial liabilities, whose benefits are inadequate, terminated, or whose benefits cannot be verified after checking for further or new information with the patient, the patient’s employer, or any other available resources.

General Job Requirements :

• Knowledge of healthcare reimbursement principles
• Knowledge of healthcare computer systems relating to patient access and patient financial services
• 1-3 years of scheduling and (or) insurance verification experience
• Highschool Diploma or equivalent
• Ability to communicate effectively
• Ability to type minimum 30 wpm
• Able to work from 7am-5 : 30pm

Saint Anthony Hospital Highlights :

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