Mfm Scheduler Full Time

Description

Holy Name is New Jersey's last remaining independent, Catholic health system, comprising a comprehensive 361-bed acute care medical center, a cancer center, medical fitness center, residential hospice, nursing school, and physician network. The system has a national reputation for providing culturally sensitive care to a diverse population, drawing patients from across the New York City region to its specialty centers and renowned doctors. Holy Name's mission to provide technologically advanced, compassionate and personalized care extends across a continuum that encompasses education, prevention, diagnosis, treatment, rehabilitation and wellness maintenance. The system is known as a high-quality, low-cost provider of extraordinary clinical care given by compassionate, highly trained physicians and staff.
A Brief Overview
Coordinates and schedules Diagnostic Radiology procedures and Ultrasound examinations for patients via telephone, in person and through inpatient prescriptions. Insurance and benefit verification prior to patients appointments. Submits billing data and claims to insurance providers on behalf of physician practice. Reconciles all charges & data ensuring correct provider, facility, medical service & coding are billed accurately.
What you will do

• Greeting patients in a professional manner both in person and via telephone
• Accurately schedules, pre-screens and pre-registers patients for Maternal Fetal Medicine
• Assumes heavy phone duties involving scheduling and rescheduling appointments for physician’s offices, outpatients and clinic patients.
• Thoroughly and clearly explains proper preparation for exams for patients who are scheduled via telephone or in person
• Verifies insurance eligibility and benefits for treatment procedures and ultrasounds prior to patients appointment
• Processes all requisitions and necessary paperwork for exams. Verifies all pertinent patient information.
• Prepares and submits billing data to insurance companies on behalf of physician practice on daily basis
• Prepares and submits medical claims to insurance companies of physician practice on daily basis
• Performs posting charges on behalf of physician practice
• Checks eligibility and benefits verification for treatment procedures and ultrasounds
• Answers billing questions from patents or insurance telephone inquiries pertaining to assigned accounts
• Submits billing data to appropriate insurance providers on behalf of physician practice
• Reconcile all charges and data entered in electronic systems to ensure 100 % data accuracy, assure correct provider, facility, medical services and coding is billed on behalf of physician practice
• Collects and processes copayments, payment posting and reconciliation
• Enters patient information into both hospital and physician office computer systems. Assures that correct information has been entered at every visit
• Questions patient and documents requisition
• Reschedules call back patients and answers messages in a timely manner
• Responds to phone requests. Assists patients and notifies appropriate staff of priorities
• Prepares, reviews and transmits claims using electronic and paper claims processing on behalf of physician practice
• Explains the outpatient registration process to the patient during scheduling encounters
• Verifies insurance and obtain authorizations on a daily basis for all patients for both hospital and physician practice
• Performs duties in an independent manner with little need for direct supervision
• Observes Hospital policy concerning Fire and Safety regulations, Infection Control Standards, smoking regulations, telephone usage and other rules governing conduct
• Maintains and respects confidentiality
• Complies with Hospital dress codes by wearing ID badge and maintaining professional appearance
• Demonstrates commitment to own work schedule by adhering to attendance standards
• Demonstrates effective communication skills. Has legible handwriting and displays positive business demeanor
• Utilizes time in an effective manner
• Adjusts personal schedule in case of fluctuations in workload of the department
• Demonstrates ability to recognize priorities and deal with them promptly
• Reports any suggestions or positive changes to supervisor
• Shows appropriate respect and professionalism to patients, co-workers, supervisors and physicians
• Must be able to work effectively as a member of a multidisciplinary team to ensure that quality service is provided to clients and physicians
• Utilizing any or all Hospital provided equipment and/or safe work procedures; employee shall be required to lift all objects as is practicable
• The employee must be able to perform the physical requirements of this job, including but not limited to, standing, walking, reaching with arms and hands, climbing, balancing. Must be able to stoop, kneel and/or crouch
• Performs other duties as assigned

Education Qualifications

• High School Graduate or equivalent experience Required

Experience Qualifications

• Hospital or physician office experience Preferred

Knowledge, Skills, and Abilities

• Excellent customer service skills

Holy Name is a mission-driven facility whose quality standards and philosophy are rooted in the principles of its founders, the Sisters of St. Joseph of Peace. Those principles are exercised daily by the Medical Center's dedicated and talented team of physicians, nurses, allied health employees, and a wide variety of non-clinical administrative and operational staff members. Holy Name is an Equal Opportunity Employer.