Senior Scheduling Specialist

Performs complex scheduling and registration activities, including handling incoming calls, scheduling patients with required clinical and demographic information, verifying patient data, collecting point-of-service payments, providing preparation instructions, and ensuring proper documentation in accordance with established standards. Completes advanced patient access functions such as insurance verification, eligibility review, patient financial responsibility estimation, and authorization requirements using available systems and protocols. Manages high call volumes while multitasking in a fast-paced environment, maintaining a professional, courteous, and service-oriented approach with patients, providers, and internal departments. Resolves routine patient inquiries and reimbursement questions, ensuring timely and accurate responses. Handles inbound and outbound communications with patients, physician offices, and insurance carriers to promptly resolve issues. Collects patient payments and follows established financial clearance processes within defined levels of authority. Serves as a liaison for complex patient access and account issues, providing guidance and acting as a subject matter expert for Scheduling Specialists. Provides training, coaching, and feedback to staff on processes, systems, and payer requirements, while monitoring productivity and work assignments. Supports and leads process improvement and continuous quality improvement initiatives, including goal setting, progress tracking, and data preparation for reporting. Ensures compliance with performance standards, organizational policies, third-party requirements, and applicable federal and state regulations, including EMTALA and HIPAA. Requirements 4 years of Patient Access operations activities (scheduling/registration/insurance) or related experience (billing, collections, customer service) in a hospital or physician's office setting 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 Bachelor's degree in related field or Healthcare Certification (AAHAM CRCS,

HFMA CRCR

, NAHAM CHAA) Core Competencies Demonstrates expertise in patient access operations, including scheduling, registration, and insurance verification, while ensuring compliance with healthcare regulations such as EMTALA and HIPAA. Proficient in training and coaching staff, managing high call volumes, and implementing process improvements to enhance patient experience and operational efficiency. Highest-signal resume keywords Patient Access Operations Insurance Verification Medical Terminology Healthcare Certification Process Improvement Hard Skills Scheduling Registration Insurance Verification ICD 10 Coding CPT Coding Financial Clearance Processes Data Preparation Patient Financial Responsibility Estimation Claims Management Software Microsoft Office Soft Skills Customer Service Multitasking Professional Communication Coaching Problem Solving Certifications & Qualifications AAHAM CRCS HFMA CRCR

NAHAM CHAA

Industry Keywords EMTALA

HIPAA

Patient Access Healthcare Reimbursement Third-Party Requirements #J-18808-Ljbffr Jobtailor