Central Scheduling Representative - Clinic

Provides positive patient encounter as first impression of the hospital. Ensures currency of medical, demographic, insurance, and financial information through interviews and verification of insurance benefits. Uses ACMC systems/applications to capture and communicate data to Health Information systems, patient care departments, and Patient Financial Services for billing. Accurately identifies patients and required for clinical treatment. Enters appropriate diagnosis, procedure, and physician information for medical record. Communicates with insurance companies and physicians regarding coverage and authorization requirements. Uses on-line, web based, and telecommunication verification systems to ensure accuracy and to expedite payment. Ensures compliance with local, state, federal, third part,TJC regulations.

Education, Knowledge, Skills and Abilities

• High School Diploma required; college or business school education preferred. Must have excellent verbal and communication skills. Medical terminology or the successful completion of course within one year of employment preferred. Intermediate PC software application knowledge and ability to use multiple data systems preferred. Extensive knowledge of billing and insurance preferred.

Required Length and Type of Experience

• Two years customer service experience dealing with the public on the phone or in person required. Two years patient financial services background (registration, billing, medical office, customer service, follow-up, or collections) preferred. Must have experience dealing with the public in person as well as on the phone. Must possess ability to work effectively in complex environment of a healthcare system. Keyboarding skills essential (40 WPM). Excellent communication and organization skills required.