Summary: This role involves obtaining and verifying demographic, clinical, financial, and insurance information to facilitate appointment scheduling for patient tests and procedures. The scheduler pre-registers patients and ensures financial clearance by validating medical necessity for Medicare and non-Medicare cases. Additionally, the position requires processing signed physician orders to maintain accurate clinical documentation for care delivery.

Key Responsibilities:

• Schedule outpatient appointments for various modalities, excluding biopsy and special procedures, coordinating resources such as equipment, staff, and rooms.
• Manage add-on and same-day appointments, ensuring proper sequencing to minimize patient delays when multiple tests are required.
• Perform insurance eligibility and benefit verification through electronic data interchange, web access, and direct payer communication, documenting results accurately.
• Pre-register patients for upcoming visits and provide appointment reminders, including preparation instructions and financial responsibility information.
• Collect patient liabilities such as co-payments, co-insurances, deductibles, deposits, and outstanding balances during pre-registration.
• Educate patients, families, and physician offices about diagnostic test preparations and scheduling instructions.
• Confirm appointments with referring offices and reconcile daily charge reports, addressing any discrepancies.

Education:

• High school diploma or equivalent required.
• Preferred coursework in Business, Health Care Administration, or Computer Technology.
• Medical terminology proficiency required within the first year of employment.

Experience:

• 1-2 years of insurance or clerical experience in a hospital or medical office setting.

Skills and Abilities:

• Successful completion of pre-employment and post-training testing.
• Knowledge of insurance processes and payment collection.
• Proficiency with Microsoft Office software.
• Strong verbal and written communication, customer service, and problem-solving skills.
• Ability to manage complexity and stress in a dynamic healthcare environment.
• Flexibility to work department hours, including possible shift rotations.

Physical Requirements:

• Effective oral communication and sensory abilities to collect information.
• Dexterity to operate office equipment.
• Work in a well-lit, temperature-controlled office or call center environment.
• Ability to lift or move items up to 50 pounds occasionally.