Patient Sched Representative

Summary

This position is responsible for scheduling patient appointments in multiple departments and medical centers/clinics for clinical diagnostic or therapeutic exams. This position requires the collection of accurate demographic, insurance and diagnostic data elements. This position also requires a broad knowledge of scheduling, registration and payer requirements necessary to secure payment.

Responsibilities

• (25%)*
• Obtain necessary data elements (demographic) to schedule appointment and enter the information into the scheduling system.
• (25%)*
• Create a pre-registration for each scheduled visit including capture of insurance and financial information.
• (25%)*
• Verify insurance using online electronic verification system or by contacting payer directly. Confirm eligibility of benefits such as coverage limits and effective dates.
• (25%)*
• Collaborate with the physician offices to secure authorization, pre-certification and/or notification when necessary.
• OTHER DUTIES AND RESPONSIBILITIES
• Perform scanning of orders in to the computer based operating system for upcoming encounters.
• Provide instructions to the patient and/or providers offices regarding required preparation.
• Work with staff and management to achieve defined scheduling/authorization weekly metrics.
• All other duties as assigned.
• Certifications and Licensures
• N/A Required Education
• High school diploma or GED is required
• Other Information
• EXPERIENCE, TRAINING AND SKILLS: One year medical office experience in a Medical Center or similar setting required.
• Phone, listening, and interpersonal skills needed to communicate successfully with individuals and groups and interact with people at all levels to communicate ideas and concepts in a clear and understandable manner.
• Windows PC and Internet experience is required.
• Ability to work well in a team environment - cover coworker duties as needed, participate in department teams, offer suggestions for work flow improvement.
• MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft Windows.
• An employee may be required to participate in further learning opportunities offered by MyMichigan Health
• PHYSICAL/MENTAL REQUIREMENTS AND TYPICAL WORKING CONDITIONS: Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death.
• Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position.
• Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description.
• Overall vision and hearing is necessary with or without assisted device(s).
• Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching.
• Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan Health bloodborne pathogen and TB testing as required.
• Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake.
• Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis.
• Physical Demand Level: Sedentary.
• Must be able to occasionally (0-33% of the workday) lift or carry 0-10 lbs.

Responsibilities

• (25%)*
• Obtain necessary data elements (demographic) to schedule appointment and enter the information into the scheduling system.
• (25%)*
• Create a pre-registration for each scheduled visit including capture of insurance and financial information.
• (25%)*
• Verify insurance using online electronic verification system or by contacting payer directly. Confirm eligibility of benefits such as coverage limits and effective dates.
• (25%)*
• Collaborate with the physician offices to secure authorization, pre-certification and/or notification when necessary.
• OTHER DUTIES AND RESPONSIBILITIES
• Perform scanning of orders in to the computer based operating system for upcoming encounters.
• Provide instructions to the patient and/or providers offices regarding required preparation.
• Work with staff and management to achieve defined scheduling/authorization weekly metrics.
• All other duties as assigned.

Qualifications

• EXPERIENCE, TRAINING AND SKILLS: One year medical office experience in a Medical Center or similar setting required.
• Phone, listening, and interpersonal skills needed to communicate successfully with individuals and groups and interact with people at all levels to communicate ideas and concepts in a clear and understandable manner.
• Windows PC and Internet experience is required.
• Ability to work well in a team environment - cover coworker duties as needed, participate in department teams, offer suggestions for work flow improvement.
• MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft Windows.
• An employee may be required to participate in further learning opportunities offered by MyMichigan Health
• PHYSICAL/MENTAL REQUIREMENTS AND TYPICAL WORKING CONDITIONS: Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death.
• Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position.
• Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description.
• Overall vision and hearing is necessary with or without assisted device(s).
• Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching.
• Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan Health bloodborne pathogen and TB testing as required.
• Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake.
• Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis.
• Physical Demand Level: Sedentary.
• Must be able to occasionally (0-33% of the workday) lift or carry 0-10 lbs.