Scheduler - Rehab Administration-NF Fulltime: Days

How would you like to work in a place where your contributions and ideas are valued?

About Wellstar

• A place where you can serve with compassion, pursue excellence and honor every voice?
• At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve.
• We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.
• Join us and discover the support to do more meaningful work—and enjoy a more rewarding life.
• Connect with the most integrated health system in Georgia, and start a future that gives you more.

Responsibilities

• Shift Day (United States of America) Job Summary: The MI Scheduling Scheduler functions under the direction of the Scheduling Supervisor/ Manager and Diagnostic Outreach VP.
• Provides outstanding customer service to customers in a fast paced busy environment.
• Drive system wide volumes by scheduling Medical Imaging appointments via inbound and/or outbound telephone calls or in person.
• Observing Quality and Productivity standards and other Key Performance Indicators.
• Responsible for performing a wide variety of clerical procedures that requires independent judgment, ingenuity and initiative in the utilization of computers and other equipment.
• Knows the existing lines of communication and authority, handles communications properly and is dependable and cooperative.
• Works with staff and understands appropriate scheduling process, willing to learn procedures/patient preps.
• Assist physician's office staff with scheduling issues in a timely manner.
• Handle heavy phone volume.
• Must be flexible with work hours to meet department needs.
• Scheduling Duties * Knowledge of all Medical Imaging exams in all modalities, including patient preps and instructions. * Demonstrate understanding of Medical Imaging Procedures. * Knowledge of Diagnosis codes or reasons for procedures * Knowledge of testing frequencies based on insurance and Medicare guidelines. * Knowledge of various insurance programs offered by each carrier * Knowledge of Medicare guidelines regarding exams that require Medical necessity checks (Follow ABN process) * Knowledge of insurance carriers requirements for Pre-Authorization of procedures and referrals for procedures (Referring to Insurance Quick Reference guide). * Knowledge of the lead time required by an insurance carrier to process pre-auth referral * numbers. * Knowledge of all Medical Imaging facilities hours of operation. * Asking exam pre-screening questions to ensure that a patient meets criteria or does not have conditions that would contra-indicate the test being performed. * Knowledge of which Medical imaging exams require specialized
• Radiologists and able to coordinate that with the schedule to make sure the patient is scheduled at the correct facility. * Assist the physicians office with ICD-9 and ICD-10 codes for Medicare Medical necessity by referring to the coding helpline * Schedule procedures for Cardiopulmonary (Echocardiograms) * Knowledge of EMR, Fax and Email orders * Working Knowledge of working with orders in the Medical Imaging Schedule Orders Work Queues * Knowledge of electronic orders (Image Now, Trace) and attaching paper orders to scheduled appointments. * Handle heavy phone volumes, providing appropriate telephone etiquette and scripting * Ability to type with a high degree of accuracy and computer skills to accurately input data into scheduling software. * Excellent communication and interpersonal skills to effectively obtain required minimum data set from patients, their representatives and/or physician offices; obtains verifies and updates demographic and insurance information, accurately completing scheduling questionnaires.
• Verify payors through real-time eligibility, if applicable.
• Non-RTE payors must be verified via web or phone. * Verify the accuracy of data entered and correct any errors * Superior attention to detail * Ability to exercise judgment in taking appropriate actions in emergent situations, take initiative when problem solving, retain composure in stressful situations and escalate issues as necessary * Maintain neat attire, hair and appearance, following the department dress code.
• Player * Ability to interact respectfully with co-workers, patients, referring office staff in a friendly, personable and professional manner * Promote positive working relationships with co-workers, Team Leads, Supervisors and Managers. * Orientates new employees and assures proper documentation of training * Assists other areas of Scheduling when needed * Flexible with hours to meet department needs * Assist in the interview process of new hires if asked * Understands existing lines of communication and authority, handles communications properly and is dependable and cooperative * Meets Service Recovery and Customer Service guidelines as needed
• Performs other duties as assigned
• Complies with all WellStar Health System policies, standards of work, and code of conduct.

Requirements

• High school diploma Required or equivalent.
• All certifications are required upon hire unless otherwise stated.
• Required Minimum Experience: Minimum 1 year of experience in customer service or medical scheduling Preferred Required Minimum Skills: Strong customer service skills, good communication and organizational skills.
• Basic insurance carrier and pre-certification knowledge and computer skills preferred.
• Basic typing and data entry experience.
• The individual must be able to communicate and understand verbal and written English language and display a positive attitude.
• This position requires a high level of attention to detail and a low error rate, as the consequences of even a minor mistake can be significant for patients and providers.

Preferred

• Medical Terminology preferred.

In addition, this position requires regular, reliable attendance.