Centralized Scheduling RCM

About the position BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3 billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 hospitals and multiple community health locations. Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental health, rehabilitation, long-term care and hospice. BJC is the largest provider of charity care, unreimbursed care and community benefits in the state of Missouri. BJC and its hospitals and health service organizations provide $785.9 million annually in community benefit. That includes $410.6 million in charity care and other financial assistance to patients to ensure medical care regardless of their ability to pay. In addition, BJC provides additional community benefits through commitments to research, emergency preparedness, regional health care safety net services, health literacy, community outreach and community health programs and regional economic development. BJC’s patients have access to the latest advances in medical science and technology through a formal affiliation between Barnes-Jewish Hospital and St. Louis Children’s Hospital with the renowned Washington University School of Medicine, which consistently ranks among the top medical schools in the country. The Centralized Scheduling Representative is often the first point of contact for our patients and therefore must represent BJC with the highest standard of customer service, compassion and perform all duties in a manner consistent with our mission, vision, values, and BJC service standards. The Centralized Scheduling Representative will facilitate all components of the patients' entrance into any BJC facility. This position will require a high level of emotional intelligence, professionalism and making a personal connection. The patient experiences vary broadly based on their medical needs and accuity. This position highly impacts the ability to maximize the level of reimbursements and prevention of denials by accurate collection of demographics and insurance information, benefit verficiation and point of service collection. Selecting the correct patient from the master person index (MPI) is critical to patient safety, as well as ensuring a high-level of accuracy when selecting the test to be scheduled. This team member must possess a friendly demeanor, exceptional attention to detail and maintain knowledge and competence with insurance carriers, Medicare guidelines as well as federal, state, and accreditation agencies.

Responsibilities

• Utilize critical thinking skills to assess and respond to a variety of situations, anticipating patients' needs and being able to respond to them.
• Attention to detail is essential to ensure accurate patient records and scheduled services.
• Communicate in a professional, positive, and patient-focused manner with all patients, families, provider offices, and co-workers by phone.
• This responsibility is critical to ensure positive patient experience, maximize reimbursements, and minimize denials and avoidable write-offs, and ensuring that we are maintaining the integrity of the patients clinical and financial record by correctly selecting the correct from our MPI.
• Working independently, this team member will consistently meet or exceed quality standards.
• 'The responsibilities of this position include hospital pre- registration and scheduling within multiple BJC systems, and across multiple BJC hospitals. Assures proper patient identification, pre-registers (to include validation of patient demographics and insurance verification), schedules test according to order on file (when available) in a fast paced environment. Attention to detail is essential to ensure accurate patient records. Strong communication skills are necessary in order to provide the patient with preparation instructions for each scheduled procedure. Coordinate the proficient scheduling of appointments to best meet the patient and department needs.'
• In order to comply with complex regulatory guidelines, must be able to understand, articulate and enforce hospital compliance with Medicare Secondary Payer (MSP), & HIPAA Privacy Standards.
• This position requires a higher level of independent thinking in order to solve complex issues.
• The ability to work in a constant state of alertness and in a safe manner is an essential function of this job.

Requirements

• High School Diploma or GED
• Apply tot his job

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