Patient Access Scheduler II - TMCOne - Beverly

SUMMARY:

The Patient Access Scheduler II is responsible for advanced scheduling functions, insurance verification, and coordination of complex outpatient and ancillary services. This role supports departmental operations by mentoring junior staff, resolving scheduling conflicts, and ensuring compliance with organizational and payer requirements.

ESSENTIAL FUNCTIONS:

• Schedule complex diagnostic, surgical, and outpatient procedures using EHR and scheduling systems.
• Verify insurance eligibility, benefits, and authorization requirements for scheduled services.
• Coordinate with clinical departments and physician offices to confirm procedure details and resolve conflicts.
• Provide patients with procedure preparation instructions and cost estimates.
• Collect co-pays, deductibles, and outstanding balances; reconcile daily cash drawer.
• Mentor and train Scheduler I staff; serve as a resource for complex scheduling scenarios.
• Monitor scheduling queues and ensure timely follow-up on pending cases.
• Document all insurance and authorization information in the registration system.
• Support outpatient departments with system maintenance tasks (e.g., opening/closing resources, overbooking).
• Respond to incoming calls and assist patients with scheduling, rescheduling, and inquiries.
• Adhere to HIPAA and organizational confidentiality standards.
• Performs related duties as assigned.

MINIMUM QUALIFICATIONS

EDUCATION: High school diploma or GED required; vocational training in medical office administration preferred.

EXPERIENCE: Two (2) years in a medical office or hospital setting, including 1 year of scheduling or insurance verification experience.

LICENSURE OR CERTIFICATION: Heartsaver CPR certification required within 90 days for specific departments (e.g., Pediatric or Adult Therapies).

KNOWLEDGE, SKILLS, AND ABILITIES:

• Advanced knowledge of medical terminology, insurance plans, and scheduling protocols.
• Strong communication and customer service skills.
• Proficiency in EHR systems and scheduling software.
• Ability to multitask and prioritize in a fast-paced environment.
• Attention to detail and accuracy in data entry.
• Ability to mentor and support junior staff.
• Basic computer and office equipment proficiency.