Radiation Oncology Scheduler

MI Scheduling Scheduler How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Job Shift Day (United States of America) Job Summary The MI Scheduling Scheduler functions under the direction of the Scheduling Supervisor/ Manager and Diagnostic Outreach VP. Provides outstanding customer service to customers in a fast paced busy environment. Drive system wide volumes by scheduling Medical Imaging appointments via inbound and/or outbound telephone calls or in person. Observing Quality and Productivity standards and other Key Performance Indicators. Responsible for performing a wide variety of clerical procedures that requires independent judgment, ingenuity and initiative in the utilization of computers and other equipment. Knows the existing lines of communication and authority, handles communications properly and is dependable and cooperative. Works with staff and understands appropriate scheduling process, willing to learn procedures/patient preps. Assist physician's office staff with scheduling issues in a timely manner. Handle heavy phone volume. Must be flexible with work hours to meet department needs. Core Responsibilities and Essential Functions Scheduling Duties: Knowledge of all Medical Imaging exams in all modalities, including patient preps and instructions. Demonstrate understanding of Medical Imaging Procedures. Knowledge of Diagnosis codes or reasons for procedures. Knowledge of testing frequencies based on insurance and Medicare guidelines. Knowledge of various insurance programs offered by each carrier. Knowledge of Medicare guidelines regarding exams that require Medical necessity checks (Follow ABN process). Knowledge of insurance carriers requirements for Pre‑Authorization of procedures and referrals for procedures (referring to Insurance Quick Reference guide). Knowledge of the lead time required by an insurance carrier to process pre‑auth referral numbers. Knowledge of all Medical Imaging facilities hours of operation. Asking exam pre‑screening questions to ensure that a patient meets criteria or does not have conditions that would contra‑indicate the test being performed. Knowledge of which Medical imaging exams require specialized Radiologists and able to coordinate that with the schedule to make sure the patient is scheduled at the correct facility. Assist the physicians office with ICD‑9 and ICD‑10 codes for Medicare Medical necessity by referring to the coding helpline. Schedule procedures for Cardiopulmonary (Echocardiograms). Knowledge of EMR, Fax and Email orders. Working Knowledge of working with orders in the Medical Imaging Schedule Orders Work Queues. Knowledge of electronic orders (Image Now, Trace) and attaching paper orders to scheduled appointments. Handle heavy phone volumes, providing appropriate telephone etiquette and scripting. Ability to type with a high degree of accuracy and computer skills to accurately input data into scheduling software. Excellent communication and interpersonal skills to effectively obtain required minimum data set from patients, their representatives and/or physician offices; obtains verifies and updates demographic and insurance information, accurately completing scheduling questionnaires; verify payors through real‑time eligibility, if applicable; non‑RTE payors must be verified via web or phone. Verify the accuracy of data entered and correct any errors. Superior attention to detail. Ability to exercise judgment in taking appropriate actions in emergent situations, take initiative when problem solving, retain composure in stressful situations and elevate issues as necessary. Maintain neat attire, hair and appearance following the department dress code. Interact respectfully with co-workers, patients, referring office staff in a friendly, personable and professional manner. Promote positive working relationships, Team Leads, Supervisors and Managers. Orientate new employees and assure proper documentation of training. Assist other areas of Scheduling when needed. Flexible with hours to meet department needs. Assist in the interview process of new hires if asked. Understand existing lines of communication and authority, handle communications properly and is dependable and cooperative. Meet Service Recovery and Customer Service guidelines as needed. Performs other duties as assigned. Required Minimum Education High School Diploma (General) or GED (General) Required Minimum Experience Minimum 1 year of experience in customer service or medical scheduling (Preferred) Required Minimum Skills Strong customer service skills, good communication and organizational skills. Basic insurance carrier and pre‑certification knowledge and computer skills (preferred). Basic typing and data entry experience. Medical Terminology (preferred). High level of attention to detail and low error rate. Regular, reliable attendance. Ability to communicate and understand verbal and written English language and display a positive attitude. Licenses and Certifications All certifications are required upon hire unless otherwise stated. Additional licenses or certifications may apply. #J-18808-Ljbffr Wellstar