Hamilton Health Care System, Inc.
Job Description and Performance Standards
Title: Scheduling Specialist
Reports To: Patient Account Manager
Shift: 8:00am - 5:00pm / Days Vary
Processes incoming telephone calls from physician offices, patients and HMC Departments with requests to schedule outpatient Radiology appointments. Utilizing the Soarian Scheduling system the Scheduling Specialist books an appointment based on the criteria provided. Schedulers must retain knowledge regarding test sequencing, appropriate locations, special requirements, prep instruction, as well as other relevant information. This position plays a crucial role in patient experiences as well as reimbursements from payers. The system automates Medical Necessity screening and when a CPT-4 procedure code and an ICD-10 diagnosis code are not “medically necessary” the Scheduling Specialist is required to follow up with the physician’s office to obtain appropriate coding. Verify that all physician orders are complete, correct and in accordance with JCO and government regulations.
Education: Completion of a high school diploma required. College level courses preferred.
Skills: Excellent oral and written communication skills in order to effectively interact with internal and external customers. Knowledge of Medical Terminology and third party payer terminology. At least a minimal understanding of how CPT-4 and ICD-10 codes are used in health care billing.
PHYSICAL, MENTAL, ENVIRONMENTAL AND WORKING CONDITION
Constant sitting and limited freedom of movement. Must be able to work in a fast paced, high volume environment.