Job Description

The Enhanced Scheduler is responsible for registering and scheduling patients at Intermountain Healthcare facilities system-wide ensuring that processes and procedures exceed customer expectations. This position enhances the patient experience with one telephone call to schedule and register for services. The Enhanced Scheduler reviews insurance benefit information, estimated costs, and payment options with the patient. Also obtains or reviews all necessary demographic, clinical, procedural, and prep information with the patient or representative. This position also enhances the Provider experience by offering a single point of contact for the referring offices. The Enhanced Scheduler acts as a liaison between the physician office and facility departments across multiple service lines within the enterprise.

Location: Operating Room - St Mary's Hospital - Grand Junction, CO

Shift: Full time, 40 hrs/week. Monday - Friday, start time 7:30 AM or 8:00 AM

Scope

• Maintains the surgery schedule, providing necessary information to patients and physicians.
• Coordinates, registers, and schedules appointments for patients according to availability.
• Conducts patient pre-certification on proper insurance approval for appointments and medical care.
• Ensures all pre-operative required tests needed prior to surgery, are scheduled and completed.
• Coordinates and ensures necessary equipment is ordered, room availability/scheduled, pre-surgery medication, etc. is arranged prior to scheduled procedure.
• Communicates detailed information and answers patients' questions regarding surgery preparation instructions, arrival / departure instructions relative to procedure.
• Schedules any necessary follow-up appointments, as directed by physicians.
• Receives and screens calls relating to problems that may arise due to date changes and any reasons for cancellation.
• Escalates non-routine issues to the practice manager or physician.
• Greets patients. Answers phones, takes messages, returns calls and provides needed information, while documenting all phone calls accurately and completely in the electronic medical record (EMR).
• Schedules patient appointments for visits, procedures, diagnostic tests, referrals and/or consultations.
• Registers patients. Confirms, enters, and/or updates all required demographic data on patient and guarantor on registration system. Follows procedures when identifying patients.
• Obtains copies of insurance card(s), forms of ID, and signature(s) on all required forms. Verify information on appropriate accounts to determine insurance coordination of benefits, pre-certification/prior-authorization. Complete the Medicare Secondary Payer (MSP) questionnaire when applicable. Verifies insurance to determine coordination of benefits and obtains authorization and/or referrals as required. Screens for non-covered services and waiver of liability (ABN) through automated screening at time of service.
• Informs self-pay patients of liability due and prepayment requirements. Prepare estimate of procedures, calculates advance payment requirements on previous or bad debt and current balances. Refer potentially eligible patients to financial counseling and/or contract eligibility vendor(s). Refer complex or non-compliant patient financial issues to Clinic Manager or Revenue Service Center.
• Collects patient payments and provides accurate receipt. Posts payments in system. Reconciles receipts with cash collected and complete required balancing forms. Documents patient account notes for all interactions/transactions.
• Maintains department and/or individual work queues and reports as required.
• Prepares medical records for patient appointments by compiling information from various sources to include authorizations and non-Epic documentation. Accurately scans medical records as required for Medical Group or specialty office.