JOB SUMMARY
At Houston Methodist, the Scheduler position is responsible for providing consumers access to care and treatment through appointment-based availability of healthcare services at a designated facility. This position ensures quality patient surgical and/or ancillary services scheduling by acting as a liaison between patient, facility, and providers to ensure exams, tests, and procedures are scheduled timely, accurately, and appropriately. The Scheduler may also pre-register patients timely in the electronic health record (EHR) so pre-certification, authorization, and verification of insurance benefits can be obtained in a timely manner.
Requirements:
PRIMARY JOB RESPONSIBILITIES
Job responsibilities labeled EF capture those duties that are essential functions of the job.
PEOPLE - 20%
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Promotes a positive work environment and contributes to a dynamic team focused work unit that actively helps one another to achieve optimal departmental and organizational results. (EF)
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Serves as a liaison between patient, facility, and physicians to ensure exams, tests, and procedures are scheduled timely, accurately, and appropriately. Communicates special requests and add-ons with appropriate department team as needed. (EF)
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Communicates with departments throughout the facility when barriers to the current schedule present. (EF)
SERVICE - 30%
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Schedules patients for services accurately on the appropriate schedule. Synchronizes the appointment calendars in order to effectively schedule patients according to physician/ department availability and urgency of patient service requirements as needed. May also provide pre-registration services. (EF)
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Obtains valid and compliant orders and schedules patients based on the physician order and according to department criteria. Enters all diagnostic services, surgical services and special procedures on the schedule as applicable. (EF)
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Confirms patients’ appointments, instructs on location and directions to facility/ department, relays pre-appointment preparations, and arranges for patients to have interpreter, mobility, or other assistance as needed for the visit. (EF)
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Establishes/updates the hospital account record to include detailed patient demographic and insurance information in EHR system, selecting insurance plans and payers, and medical necessity determination. (EF)
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Responds promptly to requests by staff, patients, and physicians; reschedules and/or cancels appointments as needed. Assists with resolving EHR work queues that support scheduling. (EF)
QUALITY/SAFETY - 25%
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Communicates to resolve patient access and quality service matters. Keeps open channels of communication with physician, patient, and service areas regarding action taken and outcome. (EF)
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Schedules patient appointments utilizing standard operating procedures and enters data into EHR system with a high level of thoroughness, accuracy and timeliness. (EF)
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Meets scheduling goals set by the department (e.g., abandonment rate, productivity/ activities per hour, etc.). (EF)
FINANCE - 15%
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Gathers demographic and insurance information so that the patient’s insurance may be verified, authorization obtained, and patient’s portion determined prior to the patient’s date of service. (EF)
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Organizes time effectively, minimizing incidental overtime, and sets priorities. Utilizes time between heavy workloads efficiently and helps other team members. (EF)
GROWTH/INNOVATION - 10%
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Seeks opportunities to expand learning beyond baseline competencies with a focus on continual development. Generates and communicates new ideas and suggestions that will improve quality or service. (EF)
This job description is not intended to be all inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises.
Qualifications:
EDUCATION REQUIREMENTS
o High School diploma or equivalent education (examples include: GED, verification of homeschool equivalency, partial or full completion of post-secondary education, etc.)
EXPERIENCE REQUIREMENTS
o Two years of experience in a medical setting or call center environment
o Medical scheduling experience preferred
CERTIFICATIONS, LICENSES AND REGISTRATIONS REQUIRED
o None
KNOWLEDGE, SKILLS AND ABILITIES REQUIRED
o Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations
o Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
o Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
o Ability to multi-task and flexibility to meet the needs of patients, physicians, and department
o Knowledge of basic registration/access functions and insurance procedures
o Ability to problem solve
o Basic understanding of medical terminology and diagnosis/procedural codes
o Ability to remain calm in stressful situations with patience and understanding
o Excellent customer service and professional communication skills
o Proficient computer skills and ability to learn and navigate multiple software programs
o Ability to handle detail work accurately and rapidly
SUPPLEMENTAL REQUIREMENTS
Work Attire Yes/No
Uniform No
Scrubs No
Business professional Yes
Other (dept approved) Yes
On-Call* No
Note that employees may be required to be on-call during emergencies (ie. Disaster, Severe Weather Event, etc) regardless of selection above.
Travel**
May require travel within No
Houston Metropolitan area
May require travel outside No
of Houston Metropolitan area
**Travel specifications may vary by department.
Please note any other special considerations to this job: __________________________
Company Profile:
Houston Methodist Baytown Hospital, located 35 miles southeast of Houston, is the area’s only full-service hospital offering specialized medical care for patients at every stage in life. Houston Methodist Baytown houses 226 operating beds, with 15 operating rooms and more than 1,700 employees. The hospital brings Texas Medical Center excellence and quality care close to East Harris and surrounding counties.
