Scheduling Specialist Sr

INTEGRIS Health, Oklahoma's largest not-for-profit health system has a great opportunity for a Scheduling Specialist Sr. in Oklahoma City, OK. In this position, you'll be a part of our Central Referral team providing exceptional work supporting the INTEGRIS Health caregivers and the community at large. If our mission of partnering with people to live healthier lives speaks to you, apply today and learn more about our recently enhanced benefits package for all eligible caregivers such as, front loaded PTO, 100% INTEGRIS Health paid short term disability, increased retirement match, and paid family leave.

We invite you to join us as we strive to be The Most Trusted Partner for Health.

Job Summary

The Scheduling Specialist Sr. is responsible for the provision of complex scheduling and patient access activity for ancillary, diagnostic, or surgical procedures as assigned to facilitate efficient operations, expeditious reimbursement and optimal customer satisfaction and employee satisfaction.

Requirements

INTEGRIS Health is an Equal Opportunity/Affirmative Action Employer. All applicants will receive consideration regardless of membership in any protected status as defined by applicable state or federal law, including protected veteran or disability status.

Essential Qualifications

• 4 years of Patient Access operations activities (scheduling/registration/insurance) or related experience (billing, collections, customer service)
• Previous experience in one of the following: scheduling, registration, insurance, billing, collections, and customer service in either a hospital or physicians office setting
• Bachelors degree in related field or Healthcare Certification (AAHAM CRCS, HFMA CRCR, NAHAM CHAA) preferred
• Previous experience with Microsoft Office programs and experience with admission/discharge/transfer or billing/claims management software
• Previous experience with medical terminology, basic ICD 10 and CPT coding healthcare program reimbursement and methodologies
• Previous experience in 3+ of the following: scheduling, registration, insurance (including Medicare, Medicaid, and third-party regulations), billing, collections, and customer service in either a hospital or physicians office setting
• Must be able to communicate effectively with others in English (verbal/written)

Responsibilities

The Scheduling Specialist Sr. responsibilities include, but are not limited to, the following:

• Performs complex scheduling and registration activity including fielding incoming scheduling calls, scheduling patients with the required minimum data set elements including clinical information, verifying patient demographic information, processing point of service payments, providing patients with general preparation instructions, document imaging and following documentation standards to facilitate efficient patient access according to assigned protocol
• Performs complex patient access transactions including coverage eligibility, insurance verification, patient portion calculation and authorization requirement activity utilizing available systems and resources according to assigned protocol
• Demonstrates the ability to multi-task between heavy phone volume and work under time pressure while interacting in a professional, helpful, and courteous manner with patients and all departments and caregivers within the health system
• Resolves routine patient issues and assists with questions on reimbursement
• Participates in team-oriented process improvement initiatives for the department and organization
• Participates in continuous quality improvement efforts, establishes goals with supervisors and tracks progress
• Demonstrates compliance with performance standards, federal and state regulations including EMTALA and HIPAA, policies, procedures, guidelines, and third-party contracts
• Possesses the ability to use analytical thinking, independent judgment, and clinical knowledge to adjust service area schedules and accommodate special requests from internal and external customers
• Makes outbound and/or accepts inbound phone calls from patients, physician offices, insurance carriers, etc. with the intent to resolve the concern immediately
• Collects patient payments and follows levels of authority to ensure financial clearance
• Acts as a liaison to resolve complex patient access and account issues, responds to questions on reimbursement and serves as a resource and systems expert for Scheduling Specialists, including on-the-job training, and for performance improvement and appropriateness of complex patient access transactions
• Provides guidance, feedback and training to staff on multiple processes, payers and systems, and monitors assignments and assess productivity
• Handles all communication effectively, including telephone, email, and verbally with all departments and caregivers within the health system
• Initiates and coordinates the implementation of team-oriented process improvement initiatives for the department and organization
• Initiates and coordinates continuous quality improvement efforts, establishes goals with supervisors, tracks progress, and prepares data for presentation
• Interprets and maintains compliance with performance standards, federal and state regulations including EMTALA and HIPAA, policies, procedures, guidelines, and third-party contracts
• Follows all safety rules while on the job, reports accidents promptly and corrects minor safety hazards
• Reports to assigned supervisor.

Physical Demands

This position may have additional or varied physical demand and/or respiratory fit test requirements. Please consult the Physical Demands Project SharePoint site or contact Risk Management/Employee Health for additional information. Normal office conditions.