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Scheduler, Pain Clinic, Northside Hospital Forsyth Interventional Pain & Spine Care Center

Scheduler, Pain Clinic, Northside Hospital Forsyth Interventional Pain & Spine Care Center

Northside HospitalCumming, GA, US
9 days ago
Job type
  • Full-time
Job description

Northside Hospital Scheduling Coordinator

Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today.

Responsibilities

Surgery

  • Is cross-trained to understand scheduling protocols for GFS, TFS, MM, and OP BX Surgical suites comprised of 11 specialties and 29 operating rooms and a mobile Lithotripter.
  • Is cross-trained to understand scheduling protocols for all Northside Hospital surgical facilities pre assessment areas.
  • Determines staff availability and schedules surgical and pre assessment appointments.
  • Schedules surgical procedures and equipment for multiple surgical facilities. Ensures physician's request for equipment and instruments can be granted.
  • Must possess the ability to conflict check equipment, surgeon, or time history.
  • Notifies materials management or appropriate staff member when scheduling procedures requiring special equipment or implants, and follows up to assure its availability.
  • Resolves all scheduling conflicts and works directly with other ancillary departments and all Northside Hospital surgical facilities to assure easy accessibility for both patient and physician.
  • Telephones surgeons' offices daily to confirm surgical appointments.
  • Cross-references surgical procedure with pre assessment appointment. Telephones patients to schedule or confirm pre assessment appointment. Provides patient with information and instructions as appropriate to procedure or appointment.
  • Maintains log of operative records, laser usage, Lithotripsy patients and implant log for all Northside Hospital surgical facilities.
  • Ensures patient charge documents are available for each surgical procedure performed.
  • Responsible for the intraoperative billing process of surgical patients. This process includes the charging of surgical and anesthesia supplies, operating room and anesthesia time charges, and implanted devices.
  • Performs daily audits on patient charging to ensure accuracy and completeness of all records.
  • Works directly with internal auditor on a daily basis to resolve insurance audit issues.
  • Functions as ancillary scheduling department for anesthesia. Schedules all C-Sections and Radiology, GI Unit, and Cardiology exams requiring anesthesia.
  • Acts as a surgical coordinator to interface with the following areas :
  • Admissions
  • ER
  • Patient Floors
  • All ancillary departments.
  • Acts as the direct surgical liaison for all office managers and physicians.
  • Works directly with medical staff office to assure physicians, contract personnel and NPP's have appropriate delineation of privileges.
  • Prepares, verifies, and distributes surgical and pre assessment schedules to appropriate areas.
  • Coordinates and verifies the scheduling of contract personnel and services.

Radiology

  • Answers 85-100 calls per day in a timely manner, utilizing appropriate customer service.
  • Efficiently utilizes computerized scheduling system.
  • Coordinates examination sequencing in cases where multiple examinations are required for an individual patient. Follows special instructions to ensure that preparations for one exam do not obscure results of other scheduled exams.
  • Applies specific criteria to ensure correct equipment and procedure rooms are scheduled.
  • Supplies patients with correct instructions and reviews instructions with patients. Is able to answer routine questions concerning nature or length of procedure. Discerns when questions require referral to technical / medical staff.
  • Telephones physician offices and obtains patient information necessary for proper scheduling of examination if necessary.
  • Prints radiology schedules as requested.
  • Completes appropriate paperwork for biopsies and invasive breast procedures.
  • Accurately documents scheduling conflicts for supervisory override.
  • Attends required number of Staff and Departmental meetings to meet expectations. Catalogs information provided as scheduling changes and updates occur to ensure they are providing current information to callers.
  • If orders are emailed, ensures that orders for scheduled radiology procedures are available in the Image Freeway system. Makes sure orders match scheduled procedures and consults with physician office to resolve discrepancies. Obtains missing orders from physician office.
  • Obtains patient information necessary for proper scheduling of examination if necessary.
  • Data Entry / Retrieval

  • Enters Radiology non-pharmacy drug charges into HMM.
  • Prints reports for patients scheduled with Medicare insurance, inputs Medicare information into database to ensure medical necessity for exam before date of exam.
  • Inputs data into Mammo Backlog report for manager to review for any excessive backlogs for all mammo locations.
  • Scans completed scheduled orders, precert notes and other pertinent patient information into Image Freeway.
  • Utilizes Image Freeway to print reports to identify patient orders that need to be scheduled and / or precerted.
  • Utilizes One Call to determine if the patient has been scheduled and print the order if patient has not yet been scheduled.
  • Sorts the orders for distribution to Precert or Schedulers.
  • Faxes completed scheduled orders back to physician offices.
  • Precert

  • Precerts 40-50 patients per day utilizing various methods (insurance websites / phone / email) for preauthorization.
  • Utilizes proper CPT and ICD-10 codes for accurate precertification.
  • Answers 10-15 calls from the Precert queue, utilizing appropriate customer service.
  • Obtains patient information necessary for proper scheduling of examination if necessary.
  • Receives, reviews and archives outpatient radiology schedules to identify accounts / cases requiring precertification.
  • Receives requests for precertification assistance from physician office. Gathers clinical information and works directly with insurance companies to obtain precertification authorization on behalf of the physician.
  • Receives requests to obtain precertification for same day add-on patients. Gathers clinical information and works directly with insurance company to obtain precertification approval.
  • Communicates and follows-up with physician offices, hospital departments and insurance companies to determine whether precertification has been initiated. If precert has not been initiated, works directly with insurer to obtain precertification approval and ensure reimbursement.
  • Efficiently utilizes computerized scheduling system to book radiology procedures at Hospital and outpatient imaging centers.
  • Coordinates examination sequencing in cases where multiple examinations are required for an individual patient. Follows special instructions to ensure that preparations for one exam do not obscure results of other scheduled exams.
  • Supplies patients with correct instructions and reviews instructions with patients. Is able to answer routine questions concerning nature or length of procedure. Discerns when questions require referral to technical / medical staff.
  • Obtains patient information necessary for proper scheduling of examination if necessary.
  • Completes appropriate paperwork for biopsies and invasive breast procedures.
  • Accurately documents scheduling conflicts for supervisory override.
  • Ensures that orders for scheduled radiology procedures are available in the Image Freeway system. Makes sure orders match scheduled procedures and consults with physician office to resolve discrepancies. Obtains missing orders from physician office.
  • Attends required number of Staff and Departmental meetings to meet expectations. Catalogs information provided as scheduling changes and updates occur to ensure they are providing current information to callers.
  • Screen Atlanta

  • Coordinates and schedules Van locations (Kroger locations, Corporations, Community Events) and sends out confirmation information packets to each client prior to date of service. Makes reminder phone calls to patients. Ensures that all Film Management functions are performed prior to the day of service to include ordering mammograms and compiling related paperwork. Converts each patient STAR account from PRO to OP and completes admission functions (corrections, scanning, etc.) as applicable upon provision of services.
  • Manages and tracks grant funding activities associated with the Breast Care Program. Duties include managing budgets (reviewing expenses and tracking expenses against budget), tracking expenditures accurately for each funding source and providing both summary and detailed grant management reports (monthly internal reports, semi-annual grant progress reports, etc.). Recording time devoted to work associated with grants in the Time and Effort system.
  • Prepares and maintains databases to generate required grant reports to include patient demographic information and funding utilization. Ensures that patients qualify for Breast Care Funds and are pre-registered prior to the provision of services.
  • Maintains a thorough understanding of how direct and indirect costs are defined, composed, allocated, and charged to active grants. Ensures compliance with contractual agreements both grant and professional fee contracts (Pathology and Radiology) when requisitioning grant funds.
  • Radiation Oncology

  • Schedules new patient office visits, consults, re-evals and follow up appointments for
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