William Newton Hospital
Centralized Scheduling/Pre-cert Specialist
William Newton Hospital, Winfield, Kansas, United States, 67156
Centralized Scheduling/Pre-cert Specialist
Description
Job Title:
Centralized Scheduling/Pre-cert Specialist Supervised by:
Director of Patient Financial Services Job Summary:
This position plays an integral role in ensuring the smooth operation of our Ancillary Services and maintaining high standards in patient care. As a Centralized Scheduling/Pre-cert Specialist, you will be responsible for coordinating and managing patient appointments and schedules efficiently, while interacting with patients, physicians, and other healthcare providers. Job Duties And Responsibilities
Appointment Coordination: Effectively manage and coordinate patient appointments, ensuring that schedules are optimized to maximize resource utilization and minimize patient wait times. Patient and Provider Interaction: Act as a liaison between patients, physicians, and healthcare staff to schedule appointments, relay information, and handle any necessary changes. Insurance Verification and Authorizations: Verify patient insurance coverage using tools like TruBridge, Availity, phone calls, and payer portals. Obtain necessary prior authorizations for services, ensuring accuracy and compliance with insurance guidelines. Records Management: Maintain accurate and detailed records of patient appointments, including cancellations and rescheduling. Ensure that all relevant patient data is properly documented. Customer Service: Provide top-tier customer service by answering patient inquiries, addressing concerns, resolving scheduling conflicts, and accommodating urgent appointment requests. Department Collaboration: Work closely with other departments (Radiology, Respiratory, Billing, Admissions, Outside Clinics, Lab, and clinical and administrative teams) to ensure smooth coordination of patient care and services. Scheduling Software Proficiency: Utilize scheduling software to effectively manage appointments, update patient data, and keep track of scheduling needs. Update insurance information, names, addresses, and phone numbers as needed. HIPAA Compliance: Maintain the confidentiality of patient information at all times in accordance with HIPAA regulations. Ensure all data is handled securely and discreetly. Meeting Participation: Attend department meetings and training sessions to stay informed about new procedures, tools, and protocols relevant to your role. Phone and Communication Duties: Answer phone calls, manage inquiries from patients, insurance companies, and healthcare providers, and ensure accurate and efficient communication that supports patient care. Team Support: Contribute to team efforts by using spreadsheets and other tools to assist in communication and tracking of patient care. Additional Duties: Assist with any other tasks that support the team’s goal of delivering superior patient care, such as helping to schedule patients, upfront collections, no-show calls/rescheduling, reminder calls/texts, and Good Faith estimates. Other Duties as Assigned Professional Requirements
Adheres to dress code, appearance is neat, clean and professional. Completes annual education requirements. Maintains and ensures patient confidentiality at all times. Reports to work on time and as scheduled, completes work within designated time. Wears identification while on duty, uses computerized punch time system correctly. Attends Hospital in-service and educational opportunities. Represents the organization in a positive and professional manner. Complies with all organizational policies regarding ethical business practices. Works at maintaining a good rapport and a cooperative working relationship with physicians, departments and staff. Ensures compliance with policies and procedures regarding department operations, fire, safety and infection control. Communicates the mission, vision and core values of the hospital. Maintains regulatory requirement, including all state federal and CMS regulations. Teamwork: Work independently while also being an effective team player. Collaborate with other departments and adapt to changing situations. Dedication to excellence for our Organization, patients and the community we serve. Regulatory Requirements
High school diploma or equivalent. Familiarity with medical terminology, healthcare procedures, and the insurance verification process is required. Knowledge of CPT/HCPCS codes and ICD-10 codes is preferred but not required. Experience: Minimum 1 year prior experience in a medical office environment, particularly in scheduling, administration, or customer service, is highly beneficial but not mandatory. Language Skills
Ability to read and communicate effectively in English, both verbally and in writing. Skills
Software Proficiency: Proficient in using scheduling software, electronic health record (EHR) systems, and Microsoft Office applications, including Excel, Outlook, Teams/Zoom and Word. Knowledge of platforms such as TruBridge, Availity, and other payer-specific provider portals for insurance verification is preferred. Multi-line phone knowledge. Communication Skills: Strong verbal and written communication skills for professional interaction with patients, healthcare providers, and internal teams. Ability to convey information clearly, professionally, politely answer questions, and resolve concerns. Organizational Skills: Excellent attention to detail and organizational abilities in a fast-paced environment. Prioritize tasks, manage time efficiently, and work under pressure while maintaining accuracy. Problem-Solving Skills: Ability to troubleshoot scheduling conflicts, manage patient requests, and resolve issues promptly, time management, and stress management are key parts of this role. Seniority level
Entry level Employment type
Full-time Job function
Project Management and Information Technology Industries
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Description
Job Title:
Centralized Scheduling/Pre-cert Specialist Supervised by:
Director of Patient Financial Services Job Summary:
This position plays an integral role in ensuring the smooth operation of our Ancillary Services and maintaining high standards in patient care. As a Centralized Scheduling/Pre-cert Specialist, you will be responsible for coordinating and managing patient appointments and schedules efficiently, while interacting with patients, physicians, and other healthcare providers. Job Duties And Responsibilities
Appointment Coordination: Effectively manage and coordinate patient appointments, ensuring that schedules are optimized to maximize resource utilization and minimize patient wait times. Patient and Provider Interaction: Act as a liaison between patients, physicians, and healthcare staff to schedule appointments, relay information, and handle any necessary changes. Insurance Verification and Authorizations: Verify patient insurance coverage using tools like TruBridge, Availity, phone calls, and payer portals. Obtain necessary prior authorizations for services, ensuring accuracy and compliance with insurance guidelines. Records Management: Maintain accurate and detailed records of patient appointments, including cancellations and rescheduling. Ensure that all relevant patient data is properly documented. Customer Service: Provide top-tier customer service by answering patient inquiries, addressing concerns, resolving scheduling conflicts, and accommodating urgent appointment requests. Department Collaboration: Work closely with other departments (Radiology, Respiratory, Billing, Admissions, Outside Clinics, Lab, and clinical and administrative teams) to ensure smooth coordination of patient care and services. Scheduling Software Proficiency: Utilize scheduling software to effectively manage appointments, update patient data, and keep track of scheduling needs. Update insurance information, names, addresses, and phone numbers as needed. HIPAA Compliance: Maintain the confidentiality of patient information at all times in accordance with HIPAA regulations. Ensure all data is handled securely and discreetly. Meeting Participation: Attend department meetings and training sessions to stay informed about new procedures, tools, and protocols relevant to your role. Phone and Communication Duties: Answer phone calls, manage inquiries from patients, insurance companies, and healthcare providers, and ensure accurate and efficient communication that supports patient care. Team Support: Contribute to team efforts by using spreadsheets and other tools to assist in communication and tracking of patient care. Additional Duties: Assist with any other tasks that support the team’s goal of delivering superior patient care, such as helping to schedule patients, upfront collections, no-show calls/rescheduling, reminder calls/texts, and Good Faith estimates. Other Duties as Assigned Professional Requirements
Adheres to dress code, appearance is neat, clean and professional. Completes annual education requirements. Maintains and ensures patient confidentiality at all times. Reports to work on time and as scheduled, completes work within designated time. Wears identification while on duty, uses computerized punch time system correctly. Attends Hospital in-service and educational opportunities. Represents the organization in a positive and professional manner. Complies with all organizational policies regarding ethical business practices. Works at maintaining a good rapport and a cooperative working relationship with physicians, departments and staff. Ensures compliance with policies and procedures regarding department operations, fire, safety and infection control. Communicates the mission, vision and core values of the hospital. Maintains regulatory requirement, including all state federal and CMS regulations. Teamwork: Work independently while also being an effective team player. Collaborate with other departments and adapt to changing situations. Dedication to excellence for our Organization, patients and the community we serve. Regulatory Requirements
High school diploma or equivalent. Familiarity with medical terminology, healthcare procedures, and the insurance verification process is required. Knowledge of CPT/HCPCS codes and ICD-10 codes is preferred but not required. Experience: Minimum 1 year prior experience in a medical office environment, particularly in scheduling, administration, or customer service, is highly beneficial but not mandatory. Language Skills
Ability to read and communicate effectively in English, both verbally and in writing. Skills
Software Proficiency: Proficient in using scheduling software, electronic health record (EHR) systems, and Microsoft Office applications, including Excel, Outlook, Teams/Zoom and Word. Knowledge of platforms such as TruBridge, Availity, and other payer-specific provider portals for insurance verification is preferred. Multi-line phone knowledge. Communication Skills: Strong verbal and written communication skills for professional interaction with patients, healthcare providers, and internal teams. Ability to convey information clearly, professionally, politely answer questions, and resolve concerns. Organizational Skills: Excellent attention to detail and organizational abilities in a fast-paced environment. Prioritize tasks, manage time efficiently, and work under pressure while maintaining accuracy. Problem-Solving Skills: Ability to troubleshoot scheduling conflicts, manage patient requests, and resolve issues promptly, time management, and stress management are key parts of this role. Seniority level
Entry level Employment type
Full-time Job function
Project Management and Information Technology Industries
Hospitals and Health Care Referrals increase your chances of interviewing at William Newton Hospital by 2x Get notified about new Scheduling Specialist jobs in
Winfield, KS . We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr