Patient Access Scheduler

Patient Access Scheduler - Central Scheduling

Under the direction of the Scheduling Manager, is responsible for assuring that requests for scheduling procedures/tests received from physician(s) offices and patient(s) are processed in an accurate and timely manner using the manual and automated scheduling systems. Obtains pertinent demographic, insurance and financial information and assists with the pre-registration and financial screening process while ensuring medical necessity and payer guidelines for authorizations are met. Handles all routine patient inquiries related to the scheduling and pre-registration process. Maintains accurate records associated with the scheduling, and the processing of patient documentation. Able to manage multiple tasks with an excellent orientation to professional customer service.

Essential Functions:

• Reviews pre-admission and pre-registration accounts daily and proactively contacts insurance payers and patients at least 72 hours before service. Ensures all required payer information is obtained, deposits are collected, and payment arrangements are established in accordance with organizational policies through timely, effective follow-up.
• Verifies insurance eligibility and benefits, uses payer and third-party systems to obtain authorizations, and coordinates with primary care providers as needed to secure required pre-certifications and authorizations. Reviews patient accounts to ensure all financial, insurance, and demographic information is complete and accurate, and documents updates in the hospital information system in accordance with established procedures.
• Interprets physician orders and collaborates with providers and clinical staff to ensure accurate documentation of diagnoses, procedures, and ancillary service requirements for patient scheduling and care coordination.
• Communicates financial obligations to patients, guarantors, and family members, including estimated patient responsibility for elective services. Reviews deductibles and other out-of-pocket costs before the date of service and accurately documents anticipated payments and payment arrangements.
• Discusses available payment options with patients, secures payment or payment arrangements, and refers eligible accounts to a Financial Counselor for financial assistance screening, including Medicaid (MANG) and Charity Care application processes.
• Maintains departmental logs and operational reports, including daily and weekly tracking of incoming, completed, and pending work. Documents all activities accurately in system notes and in assigned work queues.
• Completes patient registration in the hospital system by conducting telephone interviews to collect demographic, clinical, and financial information. Reviews data for accuracy, identifies potential financial risk, and collaborates with medical staff, financial counselors, and administrators as needed to resolve issues.

General Job Requirements:

• Knowledge of system support issues that affect billing, collection, and cash application functions.
• Knowledge of healthcare reimbursement principles.
• Knowledge of healthcare computer systems relating to patient access and patient financial services.
• 1-3 years of customer service experience
• High school Diploma or equivalent
• Ability to communicate effectively

Benefits:

• Comprehensive Health Insurance Plans (Medical, Dental, Vision) Coverage begins on new hires on the first day
• Employer matching retirement plans
• Eligibility for the Public Service Loan Forgiveness (PSLF) Program
• Free parking
• Basic & Supplemental Life Insurance/Accidental Death & Dismemberment Insurance
• Paid Time Off & Holidays

Saint Anthony Hospital Highlights:

• Community Hospital with Modern Technology: Work in an environment that blends advanced tools with a mission-driven, community-focused approach.
• Competitive Salaries: Earn a strong, market-aligned compensation package.
• Innovative Environment: Be part of a soon-to-come transformation as we transition into a new, next-generation healthcare campus.
• Collaborative Culture: Join a close-knit team that values communication, teamwork, and mutual support.
• Professional Growth: Build your skills in an organization that invests in its people and encourages continuous development.
• Meaningful Work: Serve a diverse patient population and make a real impact on their health journey.
• Recognition: We are a certified Primary Stroke Center and a respected teaching hospital shaping the next generation of healthcare professionals.

EQUAL OPPORTUNITY

Saint Anthony Hospital is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment based on age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation, or any other protected status.