The posting
Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a dynamic health care resource accredited by the DNV that includes two hospitals, an outpatient center, satellite ED, and an expansive network of primary and specialty care. Capital Health Medical Group is made up of more than 600 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region.
Capital Health recognizes that attracting the best talent is key to our strategy and success as an organization. As a result, we aim for flexibility in structuring competitive compensation offers to ensure we can attract the best candidates.
The listed pay range or pay rate reflects compensation for a full-time equivalent (1.0 FTE) position. Actual compensation may differ depending on assigned hours and position status (e.g., part-time).
Pay Range:
$20.10 - $26.13
Scheduled Weekly Hours:
40
Position Overview
ESSENTIAL FUNCTIONS
- Collaborates with physician offices, hospital clinic or directly with patients to schedule surgical/procedural patients, negotiating date and time, and avoiding resource conflicts (chairs, rooms, nurses, equipment). Performs this task in a timely manner. Coordinates special procedure needs with appropriate CH departments and staff, as well as external resources.
- Works closely with applicable clinical and operational leadership to schedule and maximize utilization of nursing time, productivity and resources.
- Gathers complete patient and procedure documents for each case to assist in patient registration and billing.
- Is a resource for the physician offices and other schedulers on how to obtain pre-certification and authorizations from various insurance carriers (both in-network and out of network payers) to facilitate maximum utilization and efficiency and minimal procedure-related problems. Keeps up-to-date log sheets of procedure codes and works closely with the CH Finance Department to ensure that the coding is accurate.
- Verifies that the insurance precertification and authorization is accurate and contains the necessary codes. Confirms that all physician orders are billable and contains the necessary information (diagnostic code, CPT code or description, order date, frequency and physician signature). Verifies benefit eligibility using a variety of online systems or by calling the insurance company.
- Coordinates inter-department services and resources for patients. Assists in preparing accurate weekly volume reports for the pharmacy to be able to order all necessary drugs. Coordinates on a daily basis with the blood bank to ensure proper blood bank resources and supplies are available. Communicates with hospital transport and outside transportation resources to schedule patient transportation. Schedules diagnostic testing for patients.
- Works independently to assure prompt patient service both on the telephone and at the front desk. Oversees the registration and checkout process and the handling of medical records to assure efficient flow of patients through the office. Maintains positive working relationships with all physician offices, hospital departments and outside vendors.
- Reviews routine issues, difficulties, unusual circumstances, and patient complaints/problems with schedulers. Works to resolve them prior to escalating to through the leadership team.
- Performs all medical receptionist duties, including but not limited to, greeting patients, answering phone calls, scheduling appointments, maintaining and filing/scanning information into medical records, checking patients in and out, and completing computer and paperwork associated with these functions. Coordinates the communication of follow-up care needs to patients and physician offices as appropriate.
- Devises a system to keep track of patient authorizations for patients requiring multiple treatments. Ensures physician offices are notified prior to the expiration of authorizations to eliminate delays in patient treatment plan.
- Communications with physicians and physician offices by sending documentation of treatments, making them aware of when patients cancel appointments or when they miss their appointment.
- Works closely with the finance department on claim denials. Follows-up with insurances companies and physician offices on claim denials to obtain additional information for the appeals process on unpaid claims.
- Oversees the filing of information into medical records according to established protocol, the preparation, and the pulling and filling of charts.
- Demonstrates willingness to assist co-workers during periods of heightened patient activity.
- Works in conjunction with physician(s) and leadership to develop and implement a practice-specific plan for the introduction and growth of the practice in the community.
- Performs additional duties upon request.
MINIMUM REQUIREMENTS
- Education: High school diploma or GED.
- Experience: Three years of surgical or procedural scheduling experience. Supervisory experience preferred.
- Other Credentials:
- Knowledge and Skills: Excellent communication, interpersonal and organizational skills. Ability to problem solve and multi-task. Able to multi-task and manage frequent interruptions.
- Special Training: Proficient computer skills. Familiarity with medical terminology and endoscopic and/or surgical procedures and experience with variety of insurance companies preferred.
PHYSICAL DEMANDS AND WORK ENVIRONMENT
- Frequent physical demands include: Sitting , Wrist position deviation , Pinching/fine motor activities , Keyboard use/repetitive motion , Talk or Hear
- Occasional physical demands include: Standing , Walking , Climbing (e.g., stairs or ladders) , Carry objects , Push/Pull , Twisting , Bending , Reaching forward , Reaching overhead , Squat/kneel/crawl
- Continuous physical demands include:
- Lifting Floor to Waist 15 lbs. Lifting Waist Level and Above 10 lbs.
- Sensory Requirements include: Accurate Near Vision, Accurate Far Vision, Color Discrimination, Moderate Depth Perception, Moderate HearingAnticipated Occupational Exposure Risks Include the following: N/A
This position is eligible for the following benefits:
- Medical Plan
- Prescription drug coverage & In-House Employee Pharmacy
- Dental Plan
- Vision Plan
- Flexible Spending Account (FSA)
- Healthcare FSA
- Dependent Care FSA
- Retirement Savings and Investment Plan
- Basic Group Term Life and Accidental Death & Dismemberment (AD&D) Insurance
- Supplemental Group Term Life & Accidental Death & Dismemberment Insurance
- Disability Benefits – Long Term Disability (LTD)
- Disability Benefits – Short Term Disability (STD)
- Employee Assistance Program
- Commuter Transit
- Commuter Parking
- Supplemental Life Insurance
- Voluntary Life Spouse
- Voluntary Life Employee
- Voluntary Life Child
- Voluntary Legal Services
- Voluntary Accident, Critical Illness and Hospital Indemnity Insurance
- Voluntary Identity Theft Insurance
- Voluntary Pet Insurance
- Paid Time-Off Program
The pay range listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining base salary and/or rate, several factors may be considered including, but not limited to location, years of relevant experience, education, credentials, negotiated contracts, budget, market data, and internal equity. Bonus and/or incentive eligibility are determined by role and level.
The salary applies specifically to the position being advertised and does not include potential bonuses, incentive compensation, differential pay or other forms of compensation, compensation allowance, or benefits health or welfare. Actual total compensation may vary based on factors such as experience, skills, qualifications, and other relevant criteria.
