KEY RESPONSIBILITIES:
1. Responsible for pre-registering and scheduling moderately complex procedures and coordinating multiple resources for patient services.
2. Identify patient medical record utilizing Piedmont’s process/policy Support an exceptional experience through all customer interactions by connecting caller needs with organizational resources, utilizing information from various applications.
3. Operate and utilize the Scheduler Program in the hospital computer system
4. Respond to correspondence regarding scheduling changes/cancellations both written and oral in a timely, accurate manner.
5. Assess and prioritize requests to include communicating accurate, pertinent information to external and internal customers.
6. Maintain overall knowledge of the patient scheduling system in order to answer patient inquiries about insurance billing/payment and self-pay liability.
7. Preregister patient encounters by obtaining patient demographic and financial information for clinic, hospital and outpatient departments.
8. Support a prospective payment program by communicating organizational policies, providing estimates, financial options, explaining insurance coverage/non-coverage, communicating and collecting patient liability/co-pay.
9. Reviews orders to ensure completeness prior to scheduling. Prepares for the patient visit by verifying patient insurance, confirming benefits, reviewing medical necessity, and creating patient liability estimates. Communicates expected patient liability and collects.
10. Reviews medical necessity and creates patient liability estimates.
11. Calculates and determines financial responsibility for patients including deductibles, co-payments, and amounts covered for requested services.