Pre Services Team Lead - Scheduling (Days)

Job Title

Coordinates work assignments for registrations, pre-registrations, and centralized scheduling services within arena registration environment. Supports registration functions by performing job duties as needed.

Required Knowledge & Skills

Education: High School Diploma or GED

Experience: Two years of related experience. Requires working knowledge of specialized practices, equipment, and procedures.

Licenses and Certifications

CERTIFIED HEALTHCARE ACCESS ASSOCIATE

Qualifications

* Two years previous experience relevant to position (i.e. registration, scheduling, utilization review in healthcare). Previous experience or knowledge of scheduling & order management, medical necessity, and other financial clearance techniques preferred. Knowledge of medical terminology preferred. Relevant training or education may be considered as experience. Management experience preferred, but not required.

* Ability to interact and work well as a part of a team oriented environment.

* Proficient use of computer equipment.

* Ability to organize for maximum time utilization and smooth patient flow.

* Ability to comprehend and apply a large variety of operating procedures.

* Ability to make independent decisions, displaying emotional maturity and using sound judgment.

* Ability to work effectively in high stress situations.

* Ability to work in fast-paced environment with frequent interruptions.

* Excellent public relations skills. Pleasant professional demeanor when dealing with the public, even irate or abusive individuals. Must possess the ability to communicate effectively and maintain good relations with co-workers, the hospital, and medical staff, as well as with patients, families, and third party payers.

* Proven ability to act as a positive influence in a leadership role and to effectively work with others at all levels within and outside the organization.

* Ability to read and write legibly, with spelling accuracy.

* Successful completion of the Certified Healthcare Access Associate exam or HFMA Certified Revenue Cycle Representative within 90 days of employment and completion of educational requirements to maintain certifications as warranted.

Functions

Area of Responsibilities

* Responsible for day to day coordination of PreService operations to include scheduling and preservice clearance.

* Acts as a liaison to promote open communication and development of positive relations between the PreServices department and other team members, other departments, customers, and management. Serves as the primary resource to resolve scheduling related obstacles and address template questions, from service departments ie radiology, cardiology etc.

* Assist with transparency & change management efforts, by effectively communicating relative operational changes shared by leader or obtained from interactions with other departments, project meetings etc.

* Maintains knowledge and technical skill proficiency to assume duties as required. Completes educational assignments as required. Maintains proficiency of technical skills in all areas of the department, as necessary, to assume duties as primary department contact, when designated by manager.

* Performs pre-service and scheduling functions in a timely, accurate, and professional manner. Exhibits department and facility mission characteristics with patients, visitors, family members, physicians, physician's practice staff, nurses, ancillary department personnel, and others who may come in contact with this individual as a representative of Tanner Health System. Requires discretion, diplomacy, and tact to give or get specialized information to perform duties of the job, obtaining accurate and complete information from patients who are ill, anxious, possess language barriers, etc

* Performs order entry functions in a timely, accurate, and professional manner.

* Ensures medical necessity and coding information as required for patients, is accurate and entered in the computer in a timely manner.

* Onsite point person and problem solver for PreServices, collaborating with Manager for escalations as needed. Communicates with manager routinely to ensure transparency & alignment.

* Creates and maintains staff schedules. Assists Manager with PTO review approval and employee attendance tracking.

* Assist in the administration of all departmental reporting including but not limited to call and scheduling volumes, POS Collections, maintaining current productivity data measures, and others as assigned.

* Assists with PreServices staff development and training, maintaining a focus on quality customer service. Supports team member development as an ongoing resource and subject matter expert.

* Supports quality and efficiency improvement efforts through participation in all special projects, PI reporting and initiatives, in coordination with the department manager and PAS Quality Coordinator. Provides general feedback to team, regarding quality review outcomes and opportunities.

* PI - Monitors call times and activity to ensure maximum throughput and patient contact.

* PI - Monitors scheduling request WQs to ensure the department is meeting the level of service expected, relative to first touches and scheduling turn around times.

* PI - Monitors Preservice clearance metrics to continuously improve the percentage of scheduled patients that are fully pre-registered, provided an estimated cost and payment secured arranged.

* Establishes and contributes to maintaining a high level of employee morale.

* Demonstrates a positive attitude toward all THS customers and projects a positive professional image.

* Prioritizes personal development & education to be proactive in meeting the future needs of the department.

* Maintains confidentiality of all patient data and medical information and adheres to HIPAA standards.

* Distinguishes and responds correctly to certain disaster or emergency situations such as fire alarm, visitor injury, etc.

* Performs other tasks as assigned.

Compliance Statement

Employee performs within the prescribed limits of Tanner Health System's Ethics and Compliance program. Is responsible to detect, observe, and report compliance variances to their immediate supervisor, the Compliance Officer, or the Hotline.

Required Knowledge & Skills

Education: High School Diploma or GED

Experience: Two years of related experience. Requires working knowledge of specialized practices, equipment, and procedures.

Supervision

Coordinates duties for a small section of employees. Orients and trains employees. Will schedule, assign, check, and maintain flow of employee work. Appraises performance of employees and with management approval, discusses with employees. May recommend hiring, discipline, and changes in status of employees to Manager. Assists Manager with personnel decisions and minor personnel actions.

Position Responsibilities

Contact with Others: Requires frequent contact with many persons at different levels inside and outside of the organization to carry out organization policies and programs and obtain willing acceptance, consent, or action.

Effect of Error: Probable errors may be serious and involve losses such as improper costs, overpayment, waste of material, damage to equipment, and delay in processing work. Effect usually confined within the organization. Most of work not subject to direct verification or check. Regularly works with some confidential data such as account, salaries, patient medical records, which if disclosed might have adverse internal or external effects.

People Management Responsibilities

Supervisory Responsibility: Has limited supervision over a large section of employees (15 up), i.e. assigns and directs their work; instructs new employees and corrects results, may discuss with supervisor, but has no authority over job content or personnel.

Work Environment/Physical Effort

Mental Demands: Work involves a variety of complex problems to be solved under general organization policies. Ingenuity and judgment are required to review facts, plan work, estimate costs, and deal with factors not easily evaluated, interpret results, draw conclusions, and take or recommend action. Solutions to problems often require coordination with other departments.

Working Conditions: Noticeable - (About 25% of the day) Involved in exposure to dirt, odors, noise, or some work is performed with exposure to temperature/weather extremes/occupational risk and probability of coming into contact with blood borne pathogens, other potentially infectious diseases, or biomedical/bio-hazardous materials.

Working Conditions Aspects for Immunizations

Performs tasks involving contact with blood, blood-contaminated body fluids, other body fluids, or sharps (needles): Yes

Directly works with Patients less than 12 months of age: Yes

Physical Aspects

Bending: Occasional = 1% - 33% of the time

Typing: Constant = 67% - 100% of the time.

Manual Dexterity -- picking, pinching with fingers etc.: Frequent = 34% - 66% of the time

Feeling (Touch) -- determining temperature, texture, by touching: Occasional = 1% - 33% of the time

Hearing: Constant = 67% - 100% of the time.

Reaching -- above shoulder: Occasional = 1% - 33% of the time