At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence.
Toledo, OH
SURGERY SCHEDULER
GENERAL SUMMARY:
Under minimal supervision of a Supervisor/Manager/Coordinator, the scheduler is responsible from performing revenue cycle tasks necessary to ensure compliance, patient safety, and excellent customer service. The following tasks must be performed timely and accurately: schedule correct procedure/surgery appointments based on verbal requests or written orders (knowledge or medical terms and human anatomy preferred), demonstrate knowledge of Mercy system and services offered, validate patient demographic and insurance information, screen for medical necessity to ensure Medicare compliance, document necessary precertification/authorization for service, verify and accurately document patient eligibility and benefits, calculate and collect patient liabilities (money) and provide exceptional customer service.
KNOWLEDGE, SKILLS AND ABILITIES:
Associates degree in health related field and a minimum of 3 years working in a physician practice, urgent care or similar setting OR the equivalent practice experience.
Must possess strong interpersonal and communication skills in order to interact effectively with patients and families, physicians and office staff. Ability and willingness to identify operational and/or staff and provider issues and elevate them for resolution.
Demonstrated problem- solving ability and experience.
Must have a working knowledge of medical terminology and computer literacy, to include experience with practice management software. Experience with electronic medical records software (preferably EPIC) desirable.
Possess an understanding of the revenue cycle process and related performance measures
Analytical and organizational skills required to prioritize activities and adapt to rapidly changing situations.
Experience in CPT and ICD-9 coding required. Must have a working knowledge of ICD-10 terminology.
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Demonstrates a commitment to providing high levels of customer service.
A team player, who has demonstrated a commitment to his or her current position and shows leadership potential.
A high energy, self-starter with a strong work ethic who is proactive and anticipatory rather than reactive, and accepts delegation enthusiastically.
WORKING CONDITIONS:
Works in a normal office environment with no adverse exposure to noise, dust and the like.
Work requires flexible scheduling to meet project deadlines and workload demands.
Principal Duties and Responsibilities:
Schedules the surgery/procedure at the appropriate facility and appropriate time, while working with appropriate personnel at the facility to coordinate with the surgeon's schedule and to ensure required protocols are met.
Accurately obtains/validates/documents patient demographic, insurance, and clinical information.
Ensures that policies and procedures and workflows are followed in regards to surgery/procedure scheduling and precertification requirements.
Performs job duties of patient services coordinator as required, consistent with staffing and patient volumes, if applicable.
Secures, completes and verifies all pertinent patient demographic and insurance information (registration process) and enters data into computer.
Sets up and organizes patient's charts, obtains appropriate consent forms, and maintains file system for confidential patient records.
Accurately cancels and/or reschedules appointments as requested.
Collects and accurately documents initial pre-certification/authorization information if available when scheduling.
Demonstrates problem solving skills related to scheduling, financial clearance and patient liability.
Interfaces with other key internal and external staff to obtain necessary information. Demonstrates the willingness and ability to work collaboratively with others for concise and timely flow of information. Reports issues and trends to appropriate management personnel and works collaboratively to develop solutions. Participates in all educational activities, and demonstrates personal responsibility for job performance. Takes initiative for learning new skills and willingness to participate and share expertise on projects, committees and other activities, as deemed appropriate.
Demonstrates behaviors consistent with Mission and Core Values (Compassion, Excellence, Human Dignity, Justice, Sacredness of Life, Service) of Mercy.
Adheres to the standards and policies of the Corporate Responsibility Program, including the duty to comply with applicable laws and regulations, and reporting to designated manager (or employer hotline) any suspected unethical, fraudulent, or unlawful acts or practices.
Embraces Standards of Behavior in order to provide and promote excellent customer service for both internal and external customers. Holds self and others accountable for behaviors that promote service excellence.
Adheres to all standards and policies regarding safety/patient safety initiatives.
Monitors provider schedules to ensure that patient access is maximized.
Tracks and reports referrals as directed.
Many of our opportunities reward* your hard work with:
Comprehensive, affordable medical, dental and vision plans
Prescription drug coverage
Flexible spending accounts
Life insurance w/AD&D
Employer contributions to retirement savings plan when eligible
Paid time off
Educational Assistance
And much more
*Benefits offerings vary according to employment status
All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health - Youngstown, Ohio or Bon Secours - Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email recruitment@mercy.com . If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com
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