Houston, Texas

JOB SUMMARY
The Scheduler/Insurance Verifier is responsible for scheduling and registering patients for multiple services, including but not limited to admissions and either surgery or diagnostic testing, utilizing computerized scheduling and registration systems with multiple software applications. The incumbent will be responsible for obtaining clinical information to schedule appropriately and secure the account. Obtaining and accurately inputting information to properly schedule services and register patients is a must for this position. The incumbent will also be responsible for performing the necessary financial clearance processes, i.e., eligibility, verification, pre-certification and pre-service collections, to secure the services to be provided.
 

Requirements:

DUTIES AND RESPONSIBILITIES
  1. Demonstrates mastery of Ancillary and/or Operating Room scheduling process and
software. Obtains and inputs accurate registration data, such as patient demographics, insurance information, and clinical data. (EF)
  • Schedules and registers multiple services with multiple departments utilizing computerized scheduling and registration systems. Balances departmental resources, utilization requirements and addresses physician/patient requests or needs. (EF)
  • Identifies and assigns correct medical record numbers.(EF)
  • Obtains required data to support hospital clinical/financial needs. Utilizes courteous and professional telephone techniques and interpersonal skills to establish and maintain rapport with patients, physicians/office staff and hospital personnel. Maintains patient confidentiality. Appropriately utilizes ACD telephone system, as applicable. (EF)
  • Performs insurance eligibility and verification as well as pre-service collections for scheduled and unscheduled services.(EF)
  • Communicates with other Patient Access Services areas, Utilization Review, and any other departments and/or offices, any problems or additional information needs for authorization, referral, or pre-certification.(EF)
  • Collates and prepares all pre-registered patients records for initiation into the facility. (EF)
  • Contributes to departmental and hospital patient satisfaction. Communicates openly in a non-judgmental and professional demeanor during all interactions with customers and co-workers. Participates in departmental and hospital performance improvement plan. (EF)
  • Demonstrates the components of the I CARE values statement (Integrity, Compassion, Accountability, Respect, and Excellence). (EF)
  • Demonstrates Service PRIDE standards ( Smile and make eye contact; greet each patient and visitor; seek out patient and visitor contact; displays appropriate body language at all times; take 5 minutes each day to go above and beyond for one patient or visitor; honor diversity; thanks every customer.)(EF)
  • Follows all safety rules while on the job. Reports accidents promptly and corrects minor safety hazards. (EF)
  • Perform other duties as assigned.
 

Qualifications:

EDUCATION REQUIREMENTS
High School graduate or GED
Some college hours preferred
 
EXPERIENCE REQUIREMENTS
Minimum of 3 years of public contact experience which includes 2 years health care experience in Patient Access Services, primarily with surgery and ancillary scheduling and registration.
Minimum of 2 years experience contacting insurance providers and verifying insurance and familiarity with managed care contract requirements as they pertain to pre-cert and authorization processes.
 
CERTIFICATES, LICENSES AND REGISTRATIONS REQUIRED
None
 

SPECIAL KNOWLEDGE, SKILLS AND ABILITIES REQUIRED

    • Hospital Information System - ADT and Patient Management experience preferred
    • Experience using MS Word, Excel and Outlook
    • Ability to manage multiple calls at a time required.
    • Excellent customer service skills with the ability to multitask required.
    • Strong communication skills (Written & Verbal) in English required
 

Company Profile:

Located in Northwest Houston, Houston Methodist Willowbrook Hospital is the first Houston Methodist community hospital to earn Magnet® status – and is ranked one of the Best Hospitals in the Houston Metro Area by U.S. News & Report. At Houston Methodist Willowbrook Hospital, you’ll feel welcomed from day one by peers who share your commitment to delivering exceptional care. With leading-edge services like open heart surgery and advanced stroke care you’ll have the resources to thrive. Join us in Northwest Houston and discover how our I CARE values — Integrity, Compassion Accountability, Respect and a relentless commitment to Excellence come to life in careers that challenge, satisfy and reward like no other.

Houston, Texas

At Houston Methodist, Leading Medicine is more than a description of what we do; it's who we are. We take our responsibility as Houston's premier health care system seriously, and with a national reputation for excellence in patient care, innovation and research, we hold ourselves and the careers we build to a higher standard. Our culture is diverse, dynamic and challenging. We believe in our I Care Values and conduct ourselves with Integrity, Compassion, Accountability, Respect for others and a commitment to Excellence. Discover the difference for yourself and join Houston Methodist.

You can click on the video links below to learn more!

·  About Houston Methodisthttps://www.youtube.com/watch?v=ClN3mmKT0EI

·  Nursing at Houston Methodisthttps://www.youtube.com/watch?v=EUfmVeansTo

·  Houston - Best City to Live Inhttps://www.youtube.com/watch?v=MzLQzGBjHJw

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