Pre-Arrival Scheduling Specialist I

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Description

Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.

Summary

The Pre-Arrival Scheduling Specialist I will serve patients/customers and physician offices by obtaining a valid physician order to schedule appointments for multiple departments and procedures/tests for services rendered at UNC Health Wayne. Obtains the required demographic information that will be verified and used to complete the scheduling process. Validate & prepare documents/physician orders to ensure complete standardized scheduling. Documents communication in the Electronic Health Record (EHR) and updates referral statuses. Acts as a representative to complete referrals/schedule appointments which serves the patient/customer population within UNC Health Wayne for scheduled/and walk- in appointments.

Responsibilities

• Schedule appointments using a standardized workflow within designated templates within EPIC.
• Performs coverage discovery efforts to verify coverage for accounts without any payer(s) listed.
• Runs RTE to verify all Insurance payers electronically; call Insurance companies if needed.
• Initiates the scheduling process for referrals/paper orders by transcribing the orders in Epic.
• Update the referral status and auth/cert status in EPIC.
• Acknowledge and respond to requests for rescheduling and canceling scheduled appointments.
• Escalate matters/scheduled accounts that require attention to Pre-Arrival Team Lead/Manager.
• Notify various departments with updates regarding scheduling patients for add-ons.
• Review/Sign/Commit to the Patient Access Work Standards approved by Human Resources
• Review the Patient Access Weekly Huddle Minutes to ensure updates/changes are communicated for work processes, EPIC changes, Department Meetings, Training Classes, ETC.
• Abides by the Wayne UNC – Referral Management & Financial Clearance Collections Policies.
• Uses professional customer service in all patient/teammate and customer interactions.
• Discuss procedure/test protocols with patients, customers/physician offices at/during the scheduling process.
• Review and complete WQ’s in EPIC within designated timelines for scheduling appointments.
  
  

Other Information

Education

High School graduate or equivalent required.

Licensure/Certification

None required.

Experience

Prior experience with Scheduling/Customer Service, dealing with the public and/ or healthcare organization is strongly preferred. Computer literate. Office equipment use and knowledge such as fax machines,10 key calculators, printers, copiers, etc.

Knowledge, Skills, And Abilities

• Demonstrated analytical, customer service, and interpersonal skills.
• Strong organizational skills & good attention to detail.
• Must have knowledge of Medicare/Medicaid and Commercial Insurance payers.
• Ability to prioritize and multi-task.
• Ability to read, write and communicate effectively in English.
• Proficient with MS Office and Epic with the ability to to learn new software rapidly. Previous Electronic Health Record EPIC preferred experience.
• Ability to work with deadlines and within timelines.
• Telephone etiquette.
• Must have effective oral and written English communication skills to communicate in a clear and concise manner with patients, physicians, public, teammates and administration.
• Will always portray a professional public image.
• Ability to schedule appointments within designated deadlines.
• Ability to build strong relationships with physicians & physician offices personnel to complete the scheduling process.
  
  

Valid NC Driver’s License: No

If driving a Wayne UNC Vehicle, must be 21 years old and MVR must be approved by Risk Management.

Job Details

Legal Employer: Wayne Health

Entity: Wayne UNC Health Care

Organization Unit: Admitting

Work Type: Full Time

Standard Hours Per Week: 40.00

Work Assignment Type: Hybrid

Work Schedule: Evening Job

Location of Job: WAYNE MED

Exempt From Overtime: Exempt: No

Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.