Lead Scheduler, Community Wide Scheduling, 40-Hours, Days, Monday-Friday, No weekends or holidays, Closing shift as needed

Hours: 40-Hours Days Monday-Friday No weekends or holidays Closing shift as needed

$19.00 - $25.07

We are committed to equitable and transparent compensation practices. The salary range for this position reflects our good-faith estimate of base pay at the time of posting. Final compensation will be determined based on a variety of factors including relevant experience skills qualifications and internal equity. We regularly review our compensation structures to ensure fairness and consistency across our organization.

Essential Functions

• Coordinates the certification of all inpatients and out patient procedures are covered by the patients insurance companies.
• Ensures insurance coverage concurrent with the patients appointment by utilizing all available resources which include but are not limited to WebMD Mass Health Tufts Cigna HP Fallon and Emdeon. Enters the correct billing information into Meditech including physician referral number.
• Delegates & Coordinates the daily assignments to the scheduling staff to ensure reimbursement by insurance companies to the hospital.
• Responds to the needs and requests of ancillary departments regarding pre-certification insurance verification referrals and pre-registration of patients.
• Ensures pre-certification information in the Meditech Admissions and BAR modules is accurate and entered timely.
• Initiates the investigation of patient problems or concerns.
• Serves as a technical resource for the scheduling staff to ensure errors are identified and corrected prior to patients appointment.
• Maintains data base of all insurance verification and authorization regulations by payer for use by all hospital registrars and scheduling staff.
• Suggests system / procedure changes regarding insurance verification to department manager when necessary to ensure reduced denials and secure payment for services.
• Attends all third party training seminars when directed to ensure accurate and timely information is available to self and members of the registration and scheduling staff.
• Develops work lists to ensure all pre-certs referrals verifications pre-registrations patient notifications and patient packets are completed prior to patient appointment.
• Responds to the needs and requests of ancillary departments regarding scheduling issues.
• Reflects a positive attitude in daily work. Is receptive cooperative committed and optimistic.
• Job performance reflects compliance with Heywoods performance standards; telephone etiquette providing directions and first impressions.
• Maintains current knowledge of rules and regulations of insurance payers so that regulations are met and patients are enrolled in financial assistance if needed.
• Completes specific assignments and assists staff in completing work when short staffed or under tight deadlines
• Prioritizes and reprioritizes work based on the changing needs of the customers.
• Develops and maintains accurate records /files to include but are not limited to pre-certifications referrals booking sheets and pre registrations for all patients with scheduled appointments.
• Accurately compiles daily weekly and monthly data and statistics as requested.
• Trains and educates employees to help them improve processes and become more efficient to better our customer needs.
• Assists in promoting good communication between hospital departments physicians offices and community health care providers so the needs of our internal and external customers are met.
• Ensures office supplies and equipment are maintained and available for the department to run efficiently
• Immediately removes or arranges the removal of safety hazards from the environment
• Communicates registration/scheduling errors to the staff and offers clarification of policies and procedures.
• Supervises and delegates duties to the Scheduling staff and volunteers so department projects are completed accurately and as scheduled.
• Trains and educates all schedulers including off site departments to help them improve processes and become more efficient to better our customer needs.
• Develops schedules that meet the needs of the department and customers.
• Completes specific assignments and assists staff in completing work when short staffed or under tight deadlines.

Statement of Other Duties:
This document describes the major duties and responsibilities for this job and is not intended to be a complete list of all tasks and functions. It should be understood therefore that employees may be asked to perform job-related duties beyond those explicitly described.

Functional Demands

Physical Requirements:

Exerts up to 20 pounds of force occasionally and/or up to 10 pounds of force frequently and/or a negligible amount of force constantly to move objects. Frequently reaches (extending hands and arms in any direction) and handles (seizing holding grasping turning or working with hands).

Job Requirements

Minimum Education

• Associates Degree in Business

Minimum Work Experience

• Three years experience in patient registration or related field
• Meditech and telephone systems/equipment preferrable

Required Skills

• PC skills and experience
• Quality conscious and dependable
• Flexible in meeting multiple tasks and requirements
• able to work independently and possess good interpersonal skills