Breast Imaging Scheduler

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a five-time Magnet-Recognized health system for nursing excellence and is comprised of 2 hospitals. Capital Health Medical Group is made up of more than 250 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region.

Capital Health recognizes that attracting the best talent is key to our strategy and success as an organization. As a result, we aim for flexibility in structuring competitive compensation offers to ensure we can attract the best candidates.

The listed pay range or pay rate reflects compensation for a full-time equivalent (1.0 FTE) position. Actual compensation may differ depending on assigned hours and position status (e.g., part-time).

Pay Range:

Scheduled Weekly Hours:

Position Overview

VERSION:3

JOB TITLE:Breast Imaging Scheduler

COST CENTER:000000

JOB CODE:50474

FLSA Exemption Status:Non-Exempt

Telecommuting Eligible:

SUMMARY (Basic Purpose of the Job)

MINIMUM REQUIREMENTS

Education:High school diploma or equivalency.

Experience:Five years' patient scheduling experience. Call center or customer service experience assisting patients within a hospital or medical environment. Knowledge of breast imaging protocols preferred.

Other Credentials:

Knowledge and Skills:Working knowledge of medical insurance plans. Working knowledge of medical terminology. Displays strong customer service and communication skills to properly assist patients' needs.

Special Training:Strong attention to detail.

Mental, Behavioral and Emotional Abilities:Ability to multi-task and navigate between systems simultaneously. Manages time and works well in a fast-paced environment.

Usual Work Day:8 Hours  

Reporting Relationships

Does this position formally supervise employees? No

If set to YES, then this position has the authority (delegated) to hire, terminate, discipline, promote or effectively recommend such to manager.

ESSENTIAL FUNCTIONS

• Schedules breast imaging per request of department or offices.
• Collaborates with physician's office to schedule cases while negotiating date and time and avoiding resource conflicts.
• Gathers complete patient and procedure information and enters data accurately into database. Obtains and advises patients of all necessary pre-certification and referrals needed for financial reimbursement.
• Understands and utilizes necessary software program to determine "medical necessity" prior to scheduling a Medicare patient.
• Inform all patients of pre-registration options and pre-registers all patients when information is obtainable.
• Ensures all appropriate staff, patients, departments, and external resources are notified of additions, changes, and cancellations.
• Verifies all authorization are obtained twenty-four hours before date of service.
• Follows out of network procedures. Secures insurance authorizations and pre-certifications for outpatient services. Verifies pre-certification to ensure appropriate reimbursement.
• Uses knowledge and skills of pre-registration scheduling requirements and applies them during schedule review.
• Maintains proper communication skills with physician offices to obtain needed information for authorizations. Obtains and reviews physician orders for medical necessity coverage requirements.
• Possesses proficiency with all insurance plans and payor codes.
• Works closely with other hospital staff, providers, and patients to resolve any issues with missing or incomplete authorization and pre-registration to provide a smooth process.
• Communicates findings as appropriate to department management involved for incorrect scripts. Corrects in a timely manner.
• Coordinates call backs by obtaining scripts and scheduling patient. Coordinates short term follow up by obtaining scripts and scheduling patient.
• Coordinates with imaging support specialist regarding outside imaging or with patient directly that outside imaging is being brought in day of service.
• Coordinates with biopsy schedulers and offices for any prebiopsy imaging needed.
• Adheres to CH attendance policy as well as interdepartmental policies and procedures.
• Attend all mandatory departmental meetings.
• Performs all other duties as assigned.

PHYSICAL DEMANDS AND WORK ENVIRONMENT

Frequent physical demands include: Sitting

Occasional physical demands include: Standing , Walking , Climbing (e.g., stairs or ladders) , Carry objects , Push/Pull , Twisting , Bending , Reaching forward , Reaching overhead , Squat/kneel/crawl

Continuous physical demands include: Wrist position deviation , Pinching/fine motor activities , Keyboard use/repetitive motion , Talk or Hear

Lifting Floor to Waist 15 lbs. Lifting Waist Level and Above 10 lbs.

Sensory Requirements include: Accurate Near Vision, Accurate Far Vision, Color Discrimination, Moderate Depth Perception, Moderate Hearing

Anticipated Occupational Exposure Risks Include the following: Bloodborne Pathogens , Airborne Communicable Disease , Dust/Particulate Matter

This position is eligible for the following benefits:

• Medical Plan

• Prescription drug coverage & In-House Employee Pharmacy

• Dental Plan

• Vision Plan

• Flexible Spending Account (FSA)

- Healthcare FSA

- Dependent Care FSA

• Retirement Savings and Investment Plan

• Basic Group Term Life and Accidental Death & Dismemberment (AD&D) Insurance

• Supplemental Group Term Life & Accidental Death & Dismemberment Insurance

• Disability Benefits – Long Term Disability (LTD)

• Disability Benefits – Short Term Disability (STD)

• Employee Assistance Program

• Commuter Transit

• Commuter Parking

• Supplemental Life Insurance

- Voluntary Life Spouse

- Voluntary Life Employee

- Voluntary Life Child

• Voluntary Legal Services

• Voluntary Accident, Critical Illness and Hospital Indemnity Insurance

• Voluntary Identity Theft Insurance

• Voluntary Pet Insurance

• Paid Time-Off Program

The pay range listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining base salary and/or rate, several factors may be considered including, but not limited to location, years of relevant experience, education, credentials, negotiated contracts, budget, market data, and internal equity. Bonus and/or incentive eligibility are determined by role and level. 

The salary applies specifically to the position being advertised and does not include potential bonuses, incentive compensation, differential pay or other forms of compensation, compensation allowance, or benefits health or welfare. Actual total compensation may vary based on factors such as experience, skills, qualifications, and other relevant criteria.