Pt Access Scheduler I - Wound Clinic

SUMMARY: Serves as first point of contact for customers of TMC HealthCare; initiates the entry point for requested healthcare services and revenue management. Responsible for computerized patient registration and scheduling as well as insurance verification to include validation of authorizations and/or benefits information for ancillary procedures. Maintains and fosters effective public relations with patients and visitors. ESSENTIAL FUNCTIONS: Exhibits excellence in customer service; collects deposits or deductibles and advises patient or guarantor of insurance benefits and anticipated cost estimates; ensures completion of financial documentation; explains all necessary compliance forms and obtains patient signature; performs medical necessity screening; assists outpatient departments with minor system maintenance; interacts with physicians and/or physicians’ office staff; communicates with Medical Records and Professional Staff Services; uses medical terminology and scheduling knowledge; demonstrates knowledge of resources, staffing, instrumentation, and equipment; performs patient registration activities; completes insurance processing; communicates with departments/physicians for special requests, emergent cases, overbooking and add-ons; handles incoming telephone calls and exercises judgment in scheduling; explains procedure preparations to patients; documents all notification, authorization and eligibility information; adheres to safety, confidentiality, values policies and standards; reconciles daily cash drawer; may prepare and reconcile daily deposits; performs related duties as assigned.

Responsibilities

Serves as first point of contact for customers of TMC HealthCare; initiates the entry point for requested healthcare services and revenue management; responsible for computerized patient registration and scheduling as well as insurance verification; maintains and fosters effective public relations with patients and visitors; collects deposits or deductibles and advises patient or guarantor of insurance benefits and anticipated cost estimates; ensures completion of financial documentation; explains all necessary compliance forms and obtains patient signature; performs medical necessity screening; assists outpatient departments with minor system maintenance; interacts with physicians and/or physicians’ office staff; performs patient registration activities; completes insurance processing; handles incoming telephone calls and exercises judgment in scheduling; explains procedure preparations to patients; documents all notification, authorization and eligibility information; reconciles daily cash drawer; may prepare and reconcile daily deposits; performs related duties as assigned

Requirements

High School diploma or General Education Degree (GED), or an equivalent combination of relevant education and experience; Two (2) years of medical office and/or hospital experience to include six months healthcare eligibility and benefit analysis or scheduling experience for diagnostic testing and/or surgery; Heartsaver CPR (HSCPR or HSFACPR) certification required within ninety (90) days of employment for Pediatric Therapies and Adult Therapies departments only; Knowledge of office management practices, including billing and scheduling within healthcare; Ability to read or listen and comprehend simple instructions, short correspondence, and memos; Ability to write simple correspondence; Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization; Ability to read and interpret documents such as safety rules, procedure manuals, and governmental regulations; Ability to effectively present information and respond to inquiries or complaints from patients and/or their representatives and the general public; Ability to interpret and explain insurance benefits and patient financial responsibility; Ability to apply common sense understanding to carry out simple/detailed written or oral instructions; Basic computer familiarity and experience and ability to operate basic office equipment

Nice to have

Completion of vocational medical office training desired