Centralized Scheduler
About us: For the past 85 years, Stephens County Hospital has been a trusted name in the community, striving for excellence and delivering professional and compassionate care. Our dedicated staff of approximately 475 employees has a heart for healthcare and realizes how precious the gift of good health can be.
Stephens County Hospital is a 96-bed acute care hospital located in Toccoa, Georgia. We are nestled in the beautiful foothills of Northeast Georgia where our family-oriented community offers many cultural and civic opportunities as well as numerous outdoor activities.
Centralized Scheduler:
Full Time - Monday - Friday - Day Shift
The Centralized Scheduler is responsible for scheduling appointments for all patients where services occur as a scheduled event. The Scheduler is also responsible for ensuring that patient demographics are accurately entered into the computer system, verifies patient benefits and eligibility, obtaining pre-certification approvals from insurance companies, determining patient responsibility and completing the pre-registration process.
Education:
High School Graduate or Equivalent Preferred
Licensure / Certification:
Experience with related utilization review activity required.
Knowledge of insurance and third party payer practices required.
Knowledge of anatomy and medical terminology preferred.
Provides care for patients of the following age groups:
Duties and Responsibilities:
- Responsible for ensuring the delivery of outstanding customer service while scheduling, obtaining complete and accurate patient demographic information, identifying patient benefits and eligibility, obtaining pre-certification approvals from insurance companies and Physicians’ offices, identifying insurance and/or patient responsibility, collecting identified co-pay/co-insurance/deductible and completing the pre-registration process.
- Responsible for identifying available times for scheduled procedures; ensures prompt scheduling to meet the convenience of patients, however, allows adequate time to complete insurance verification and authorization process as efficiently as possible without compromising the procedures.
- This data is including, but not limited to, correct procedures/codes, diagnosis codes, and patient insurance information.
- Provides patient with any pre-appointment instructions.
- Ability to organize, perform and track multiple tasks accurately in short time frames, have ability to work quickly and accurately in a fast-paced environment while managing multiple demands, ability to work both
- Independently and collaboratively as a team player and maintain a positive attitude in a fast-paced environment with regular interruptions.
- Additional skills required include typing, experience using computerized documentation systems, and problem solving.
- Prepares reports as needed and accepts other responsibilities as directed.
- Demonstrates a continuous behavior of professionalism, which includes treating customers and co-workers with respect and dignity, aligning behavior with customer service principles, maintaining customer and patient confidentiality, abiding by employee guidelines for professional behavior, appearance, and communication, exhibiting teamwork behaviors, being effective in conflict resolution, helping others to understand issues and accept changes, demonstrating high standards of work performance and flexibility, maintaining positive interdepartmental relationships, keeping a positive attitude, and adhering to the policies and procedures of the organization.
- Cross Train, cover in other Registration areas as needed and directed by Supervisor/Manager
- Maintains strict patient confidentiality and follows HIPAA Compliance
Knowledge, Skills, and Abilities:
- Ability to compile, code, and categorize, or verify information/data
- Strong organizational and interpersonal skills
- Ability to determine appropriate course of action in more complex situation
- Ability to work independently, prioritize work and exercise creativity
Non-Essential Functions
- Perform other duties as assigned or requested by Supervisor or Manager
Professional Requirements
- Adhere to dress code, appearance is neat and clean
- Complete annual education requirements
- Maintain patient confidentiality at all times
- Report to work on time and as scheduled
- Wear identification while on duty
- Maintain regulatory requirements, including all state, federal and local regulations
- Represent the organization in a positive and professional manner at all times
- Comply with all organizational policies and standards regarding ethical business practices
- Participate in performance improvement and continuous quality improvement activities
- Attend regular/mandatory staff meetings and in-services as needed
Competencies
- Patient Centered
- Insurance billing
- Computer literacy
- System/Module data entry knowledge
- Teamwork
- Adaptability
- Effective Communication
- Individual Efficiency
Physical Requirements and Environmental Conditions
* Must have the cognitive ability to perform in this role.
* Critical and executive level thinking is required
* Must have strong analytical skills with the ability to collect, organize, analyze, and disseminate significant amounts of information with attention to detail and accuracy
* Have near normal hearing – able to hear alarms/telephone/normal speaking voice/webinars
* Have near normal vision – clarity of vision (both near and far) either corrected on non-corrected, ability to distinguish colors
* Have good manual dexterity and eye-hand-foot coordination
* Standing – continuously within the shift (67-100%)
* Walking – continuously within the shift (67-100%)
* Climbing – occasionally within the shift (1-33%)
* Bending/stooping – frequently within the shift (34-66%)
* Twist at the waist – occasionally with the shift (1-33%)
* Lift/carry – 20+lbs without assistance – occasionally within the shift (1-33%)
* Reaching above the shoulders – frequently within the shift (34-67%)
* Physically demanding, high-stress environment
* Requires prolonged sitting and/or bending
Stephens County Hospital is an equal opportunity employer. All applicants will receive consideration for employment without regard to race, color, religion, sex, age, pregnancy, marital status, national origin, citizenship status, disability, military status, sexual orientation, genetic predisposition, carrier status or any other legally protected status
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marie.culver@stephenscountyhospital.com
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