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HRTMS Job Description Management

Patient Scheduling Rep

J  o  b    D  e  s  c  r  i  p  t  i  o  n

 

 

JOB INFORMATION

Effective Date:

3/1/2024

Entity:

Wisconsin

Job Code:

300054

Job Title:

Patient Scheduling Rep

Exemption Status:

Non-Exempt

Management Level:

Individual Contributor

JOB SUMMARY

The Patient Scheduling Representative is often the first contact of patients when they visit one of our sites, facilities or outreach to the after-hours triage team. This position is responsible for greeting patients and working with them in person, on the phone or through electronic correspondence to meet their needs regarding scheduling, updating patient information, or helping patients navigate the healthcare system after-hours, checking patients in and out and/or acting as a liaison in reporting any patient suggestions to management.


MAJOR RESPONSIBILITIES


Meet patient needs through a variety of methods.

 

Answer incoming phone calls and/or make outbound phone calls, gathering information to route appropriately.

 

Facilitate warm handoffs when the department is reached in error.

 

Check in patients.

 

Make walk-in appointments.

 

Check out patients and print after visit summaries.

 

Schedule appointments via phone, in person or via electronic correspondence.

 

Schedule follow up appointments.

 

Coordinate appointments for patients in other clinics.

 

Coordinate Lab and Radiology appointments.

 

Cancel and/or reschedule appointments if appropriate and/or send messages to the corresponding department..

 

Manage electronic worklists.

 

Manage templates for day to day edits and reschedules.

 

Promote and assist patients in kiosk use.

 

Create and maintain patient records.

 

Verify and update patient demographics.

 

Verify visit account and insurance information and transfer to Registration if updates are needed.

 

Create account records.

 

Complete Medicare as a Secondary Payor Questionnaire as needed.

 

Collect patient photographs, document signatures and insurance card scans.

 

Collect copays, pre-payments and outstanding balances.

 

Generate MyChart activation codes.

 

Update and/or verify primary care and referring providers.

 

Manage visit prior authorization and referral requirements.

 

Counsel patients on prior authorization, referral requirements, and insurance networks as prompted by HealthLink.

 

Evaluate referrals and link to appropriate upcoming appointments.

 

Submit online requests for prior authorization to be completed by UWH Prior Authorization department. Track and manage the request through to appointment resolution.

 

Counsel patients on financial responsibility form if referral is not obtained by time of service and collect signature.

 

Provide excellent customer service to patients and family members:

 

Communicate in a manner consistent with positive patient relations.

 

Demonstrate a welcome environment when greeting all patients and family members

 

Provide helpful assistance in anticipating and responding to the needs of all patients and family members.

 

Collaborate with customers in planning and decision making to result in optimal solutions.

 

Remain calm under pressure and effectively deal with difficult people.

 

Independently recognize, interpret, and evaluate situations and their level of urgency based on organizational guidelines.

 

Help in setting realistic patient expectations for call backs.

 

Assist with the orientation and training of other employees.

 

Message triage call to place in ques following departmental and organizational guidelines as appropriate to the department.

 

Maintain or initiate faxes.

 

Maintain desk and/or clinic supplies.

 

Sort and distribute mail.

 

Contribute to the smooth operation of practice.

 

Encourage staff and represents department in a positive manner.

 

Attend staff and departmental meetings.

 

Participate in departmental process improvement.

 

Timely complete organizational requirements.

 

Other duties as assigned.

 


ALL DUTIES AND REQUIREMENTS MUST BE PERFORMED CONSISTENT WITH THE UW HEALTH PERFORMANCE STANDARDS.


Age Specific Competency (Clinical jobs only)

X

Non-Clinical

 

 


JOB REQUIREMENTS


Education

Education Level

Education Details

Required/
Preferred

 

High School Diploma

or equivalent

 

Required

 

Associate's Degree

Bachelor’s Degree in Business Administration, Healthcare, or other related field

 

Preferred

 


Work Experience

Experience

Experience Details

Required/
Preferred

 

6 months

previous experience in an office or customer service environment

Required

 

 

Previous experience working in healthcare

Preferred

 

 

Previous experience scheduling of patients

Preferred

 

 

Previous experience with answering phones, greeting clients and customers in person

Preferred

 


Wisconsin Licenses & Certifications

Licenses/Certification Details

Time Frame

Required/
Preferred

 


Required Skills, Knowledge, and Abilities

Excellent customer service skills

 

Excellent verbal, listening and written communication skills

 

Ability to operate a computer

 

Knowledge of Medical Terminology preferred

 

Ability to handle multiple priorities simultaneously

 

Excellent organizational skills

 

Ability to think independently and demonstrate good problem-solving skills

 

Ability to work in a team environment and to collaborate with a variety of individuals in a positive manner

 


PHYSICAL REQUIREMENTS/WORKING CONDITIONS


 

Physical Demand Level

Occasional
Up to 33% of the time

Frequent
34%-66% of the time

Constant
67%-100% of the time

Sedentary: Ability to lift up to 10 pounds maximum and occasionally lifting and/or carrying such articles as dockets, ledgers and small tools. Although a sedentary job is defined as one, which involves sitting, a certain amount of walking and standing is often necessary in carrying out job duties. Jobs are sedentary if walking and standing are required only occasionally and other sedentary criteria are met.

Up to 10#

Negligible

Negligible

Light: Ability to lift up to 20 pounds maximum with frequent lifting and/or carrying of objects weighing up to 10 pounds. Even though the weight lifted may only be negligible amount, a job is in this category when it requires walking or standing to a significant degree.

up to 20#

Up to 10# or requires significant walking or standing or requires pushing/pulling of arm/leg controls.

Negligible or constant push/pull of items of negligible weight

Medium: Ability to lift up to 50 pounds maximum with frequent lifting and/or carrying objects weighing up to 25 pounds.

20-50#

10-25#

Negligible-10#

Heavy: Ability to lift up to 100 pounds maximum with frequent lifting and/or carrying objects weighing up to 50 pounds.

50-100#

25-50#

10-20#

Very Heavy: Ability to lift over 100 pounds with frequent lifting and/or carrying objects weighing over 50 pounds.

Over 100#

Over 50#

Over 20#


Other - list any other physical requirements or bona fide occupational qualifications not indicated above:

 

Note: The purpose of this document is to describe the general nature and level of work performed by personnel so classified; it is not intended to serve as an inclusive list of all responsibilities associated with this position.