ABOUT NCH
NCH is an independent, locally governed non-profit delivering premier comprehensive care. Our healthcare system is comprised of two hospitals, an alliance of 700+ physicians, and medical facilities in dozens of locations throughout Southwest Florida that offer nationally recognized, quality health care.
NCH is transforming into an Advanced Community Healthcare System(TM) and we’re proud to: Provide higher acuity care and Centers of Excellence; Offer Graduate Medical Education and fellowships; Have endowed chairs; Conduct research and participate in national clinical trials; and partner with other health market leaders, like Hospital for Special Surgery, Encompass, and ProScan.
Join our mission to help everyone live a longer, happier, healthier life. We are committed to care and believe there's always more at NCH - for you and every person we serve together. Visit nchjobs.org to learn more.
JOB SUMMARY
The Scheduler is responsible for accurately and timely scheduling patient appointments with the appropriate information obtained. The scheduler is responsible for obtaining all information to ensure verification and authorization of services provided can be obtained. Scheduler duties will vary based on the business unit or office associated with the Scheduler role.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Other duties may be assigned.
· Schedulers input/output procedures for various NCH Healthcare System teams.
· Obtains appropriate authorization and/or pre-certification for referrals from insurance companies; notifies patients and physician of referral completion; may schedule patient appointment with specialists under instructions of physician.
· Ensures benefits & eligibility has been verified for all scheduled patients.
· Accurately enters charges for all services performed as necessary.
· Accurately enters payment information for each payment collected as necessary.
· Examines patient charts for referral authorizations, documents and updates medical records as necessary; obtains appropriate physician signatures.
· Educates patients and practice staff regarding insurance requirements and benefits.
· Educates patient to procedural preparation.
· Triage incoming calls and route them appropriately utilizing good customer skills. Knowledge of phone system with the ability to use call forward, call transfer, voice mail, etc.
· Obtain required personal information necessary to identify all new and existing patients and the correct demographic and preliminary financial information to enable the creation of new patient medical records and the pre-processing of required authorization / pre-certifications before the appointed visit.
· Prioritize all insurance coverage – primary / secondary / tertiary etc. Enter properly into demographic record.
· Accurately identifies patients using appropriate search methods (DOB, SSN, etc.) to identify.
· Enter diagnostic, specialty, and surgical referrals in the automated system. Track the test until results have been signed and dated by providers. Notify patient of test outcome. Close referral in the automated system.
· Copies insurance cares and scans into Centricity. Obtain and photocopy all pertinent insurance information, other healthcare, or financial assistance program documents, driver’s license, etc.
· Verifies patient information on file is accurate and updated as per company standards; updates patient data when insurance, address, or other information has changes. Understands when to correct data or create new file.
· Inputs data to MTDS to meet FDA required tracking.
· Obtain all consents for treatment, including forms for the release of medical information and patient’s acceptance of financial responsibility for all services rendered, when applicable.
· Completes required Medicare questionnaires (ABN Forms) for appropriate patients and tests under Medicare guidelines.
· Serves as point of first contact for physicians, providers, nurses, regarding surgery scheduling operations.
· Accurately and completely processes physician’s referrals and orders and enters the tests into NextGen; should be well versed with NG templates and ordering.
· Maintain patient clinical forms (i.e. prescriptions, laboratory requisitions, etc.) for patient pick-up.
· Ensures respective patient medical record information, all collected forms and photocopied documentation, are placed in the patient chart or Next Gen/EMR in the proper location.
· Give Patient standardized preliminary clinical instructions and directions in preparation for a scheduled office visit, radiological test, or procedure as needed.
EDUCATION, EXPERIENCE AND QUALIFICATIONS
· High school diploma or equivalent required.
· 1 years of experience in health related or human service organization preferred.
· Familiar with basic medical terminology and medical terminology associated with the specialty business preferred.
· Intermediate computer knowledge: Uses Microsoft Word, Excel, Outlook, and Windows.
