Patient Access Scheduling Representative (Outpatient)

Job Description

Centered in the heart of San Joaquin County, Adventist Health Lodi Memorial has been one of the area's leading healthcare providers since 1952. We are comprised of a 190-bed hospital, 17 medical offices, home care services, comprehensive cancer care and a vast scope of award-winning services located throughout Lodi and the surrounding areas. Lodi is known for its small-town charm, extensive vineyards and delicious local restaurants and bakeries. The allure of Lodi's close-knit community is complimented by its proximity to major metropolitan cities in the Bay Area and Sacramento, as well as a quick drive to Lake Tahoe or the Northern California coast.

Job Summary

Facilitates patient medical and financial clearance using medical and healthcare knowledge, clinical judgment, and communication skills to assist in resolving difficulties surrounding patient access, authorization of services and coordination of scheduled programs. Applies substantial knowledge of the job and experience to complete a wide range of activities with varying difficulty. Regularly works with sensitive and confidential information, often involving the interpretation of policies and procedures to guide use.

Job Requirements

Education and Work Experience:

• High School Education/GED or equivalent: Preferred
• Associate’s/Technical Degree or equivalent combination of education/related experience: Preferred
• Two years' healthcare experience: Preferred
  
  

Essential Functions

• Coordinates and schedules patient care for all wellness programs. Facilitates communication between patient scheduling staff and all user departments, physicians, physician office staff, patient clients.
• Answers telephone inquiries regarding physician referrals and covers front desk duties when needed. Maintains patient scheduling data base.
• Collaborates with patient financial services (PFS) to ensure appropriate authorizations are obtained in accordance with PFS policy and procedure. Submits documentation for retro-authorization as appropriate, files and appeal for denial of services.
• Develops monthly Wellness newsletter, updating website and developing promotional flyers. Actively participates in training. Performs other duties as assigned by department leadership.
• Performs other job-related duties as assigned.
  
  

Organizational Requirements

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations, including, but not limited to, measles, mumps, flu (based on the seasonal availability of the flu vaccine typically during October-March each year), COVID-19 vaccine (required in CA, HI and OR) etc., as a condition of employment, and annually thereafter. Medical and religious exemptions may apply.

About Us

Adventist Health is a faith-based, nonprofit, integrated health system serving more than 90 communities on the West Coast and Hawaii with over 400 sites of care, including 26 acute care facilities, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of 37,000 includes employees, physicians and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.