Employment Type:
Full time
Shift:
Day Shift
Description:
Trinity Health Mid-Atlantic, is looking for an experienced Scheduling Specialist to join our Patient Access team!
Employment Type:
Full Time
Shift:
40hrs/wk, days. Monday-Friday, shift times to be discussed, based on department needs. Remote opportunity.
Summary:
Under the direction of the Regional Patient Access Call Center Manager, the Scheduling Specialist is responsible for timely and accurate appointment scheduling with expertise in scheduling protocols, registration, insurance requirements/verification, identification of accurate patient responsibility with notification to the patient for the Trinity Health Mid-Atlantic Region which includes Mercy Fitzgerald, Nazareth Hospital, St. Francis Wilmington and St. Mary Medical Center Langhorne.
The Scheduling Specialist is responsible for pre-registration, scheduling, electronically verifying insurance eligibility and accurately identifying patient financial responsibility. Position handles complex scheduled events, including high dollar testing, associated studies and those with study specific instructions. This is a key position that will begin the overall patient experience and initiates the billing process for any services provided by the hospital.
- Accurately schedule appointments using scheduling protocols and insurance requirements via current HIS (Health Information System). Collects and documents all required demographic and financial information. Appropriately activates pre-registration.
- Completes scheduling of appointment, pre-registration, insurance verification and authorization requirements with collection of out of pocket payments as applicable based on Bronze Standard.
- Analyze patient insurance(s), identifies the correct insurance plan, selects appropriately from HIS insurance and plan selections and documents correct insurance order. Applies recurring visit processing according to protocol.
- Screens outpatient visits for medical necessity and issues Advanced Beneficiary Notice as appropriate for Medicare primary outpatients. Provides cost estimates. Collects and documents Medicare Questionnaire and obtains information from the patient if third party payers need to be billed (i.e. worker’s compensation, motor vehicle accidents and any other applicable payer).
- Financial Advocacy: Screens all patients self-pay & out of network patients using approved technology. Provides information for follow up and referral to the RHM Medicaid Vendor and/or Benefit Advocate as appropriate. Initiates payment plans and obtains payment. Informs and explains all applicable government and private funding programs and other cash payment plans or discounts to the patient and/or family. Incorporates point of service (POS) collection processes into daily functions.
Requirements:
- High School Diploma or equivalent. Some college preferred
- Must possess a comprehensive knowledge of scheduling with mastery in at least three (3) or more modalities and insurance verification processes with three (3) to five (5) years scheduling experience in an acute care setting
- Experience in complex facility based ancillary testing across multiple facilities/states
- Ability to schedule for multiple facilities with significant variants in protocols
- Strong knowledge of third-party and government payer billing and reimbursement guidelines as well as department performance standards and policies and procedures
- Preferred NAHAM CHAA or AAHAM CRCS certification
We offer a competitive salary and comprehensive benefits including:
- Medical, Dental, & Vision Coverage
- Retirement Savings Program
- Paid Time Off
- Tuition Reimbursement
- Free Parking
- And more!
Our Commitment to Diversity and Inclusion
Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.