Patient Scheduling Representative - Remote | WFH

OverviewWe are looking for a dedicated and detail-oriented Patient Scheduling Representative to join our team. In this role, you will be responsible for verifying and collecting patient demographic and insurance information while efficiently scheduling appointments and managing referrals. Your primary focus will be delivering excellent customer service through direct data entry into the electronic medical record (EMR) system.

This position involves both face-to-face and inbound/outbound telephone interactions with patients or authorized representatives to secure accurate information, ensure smooth scheduling, and document relevant details. A strong emphasis on professionalism, empathy, and efficiency is essential for success in this role.

Responsibilities

Patient Registration and Scheduling:

Navigate web-based systems and applications for registration and scheduling.

Accurately identify patients and enter required clinical, demographic, and insurance information into the EMR.

Provide clear explanations of scheduled procedures and patient instructions.

Ensure accurate documentation of patient visits, including provider interactions, order details, insurance verification, and financial education.

Explain legal forms and obtain necessary signatures from patients or authorized parties.

Maintain compliance with healthcare regulations, including EMTALA and HIPAA confidentiality standards.

Eligibility and Authorization Management:

Verify and update insurance information for medical services.

Use web-based tools to confirm eligibility, benefits, and authorization requirements.

Process necessary notifications to secure insurance authorizations for procedures and hospital stays.

Understand and apply basic CPT and ICD-10 coding as needed for service documentation.

Financial Counseling:

Educate patients on insurance eligibility, coverage, and available financial assistance programs.

Assist with collecting patient financial liabilities, processing secured payments, and reconciling deposits.

Maintain knowledge of Medicare, Medicaid, Workers' Compensation, and commercial insurance policies.

Revenue Cycle Support:

Manage incoming calls, routing them appropriately to patients, providers, and hospital departments.

Act as a resource for clinical teams regarding patient account details, provider order requirements, and insurance coverage inquiries.

Support registration and scheduling functions related to the hospital's revenue cycle.

Compliance and Safety:

Report any safety-related incidents promptly and attend required safety training.

Stay up to date with relevant healthcare regulations, policies, and compliance standards.

Ensure that required certifications and licenses remain valid and current.

Complete mandatory training and professional development within designated timeframes.

Qualifications

Education:

High School Diploma or GED (Required)

Medical Terminology Coursework (Preferred)

Certifications & Licensure:

Fingerprint clearance may be required for on-site work within certain clinical settings. Not required for fully remote employees.

Experience:

Basic computer skills, including typing 25-35 words per minute (Preferred)

At least 1 year of experience in a call center, customer service, or medical facility (Preferred)

Proficiency in Microsoft Office applications (Excel, Word, PowerPoint) (Preferred)

Technology Proficiency:As healthcare continues to evolve, technology is integrated into nearly all aspects of patient care. This role requires a solid understanding of computers and the ability to navigate various electronic systems efficiently.
Employment Type: Full-Time
Salary: $ 18.00 24.00 Per Hour