Scheduler

at  RWJBarnabas Health

Req #: 0000166796
Category: Billing/Collections/Registration
Status: Full-Time
Shift: Day
Facility: Barnabas Health Medical Group
Department: Somerset Urological Associates

QUALIFICATIONS:

Required:

• High School Diploma or Equivalent
• Relevant experience and/or training, or equivalent combination of education and experience
• Six (6) months to one (1) year of relevant experience and/or training.

Preferred:

• Epic Experience
• Experience with Scheduling and Prior Authorizations
• Clinical Background
• Bilingual

SCHEDULING REQUIREMENTS:

• Shift Working: Monday-Friday, 8:30AM-5:00PM
• Day Shift
• Full-Time, 40 Hours Per Week

ESSENTIAL FUNCTIONS:

• Accurately obtains all missing information needed from initial scheduling of case. Schedules cases with a high level of accuracy and brings questions to the appropriate party.
• Accurately schedules surgical procedures as indicated by physician/physician staff including date, procedure, time, equipment, supplies needed and amount of time needed.
• Analyze and verify coding of procedures and diagnosis using ICD and CPT codes.
• Bills insurance companies for all hospital (inpatient and outpatient), office, nursing homes, and all other provider services.
• Consults with Compliance Department on billing issues.
• Enter data electronically to process charges, payments, denials, and adjustments.
• Monitors claims for missing information, authorization/control numbers.
• Post third party insurance remittance vouchers if received in practice site.
• Resolve routine patient billing inquiries and problems.
• Reviews billing in all sites for accuracy.
• Adheres to the guidelines outlined in the facility-wide attendance policy.
• Communicates problems to the proper personnel promptly; asks questions to clarify misunderstandings; requests assistance from appropriate personnel in the event of an unusual or difficult situation
• Demonstrates a complete knowledge of all phases of the job.
• Demonstrates a high degree of accuracy and attention to detail at all times.
• Demonstrates an awareness of the scheduler s importance in contributing to patient safety and the efficient coordination of surgical procedures.
• Demonstrates excellent customer service in communication with physicians/physician staff, all departments within the surgery center, miscellaneous callers and visitors.
• Demonstrates good judgment by following written and verbal instructions carefully.
• Demonstrates the ability to adapt to change in the workload as required; uses time productively.
• Shows good judgment in the answering and referral of phone calls.

OTHER DUTIES:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time, with or without notice.