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.