Posted:
9/4/2024, 1:17:06 AM
Location(s):
Odessa, Texas, United States ⋅ Texas, United States
Experience Level(s):
Senior
Field(s):
Customer Success & Support
Workplace Type:
On-site
How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.
Job Summary: The Medical Imaging Scheduling Team Lead functions under the direction of the Scheduling Supervisor/ Manager and Diagnostic Outreach VP. Provides outstanding customer service to customers in a fast-paced busy environment. Drive system wide volumes by overseeing the staff, scheduling Medical Imaging appointments via inbound and/or outbound telephone calls or in person. Responsible for arranging department workflow to achieve goals and meet objectives. Daily monitoring of Quality and Productivity standards and other Key Performance Indicators. Excellent working knowledge of our systems, their capabilities and troubleshooting when concerns or needs arise. Assist with supervising the daily activities in the scheduling and precertification departments. Help lead PI initiatives for the department. Responsible for performing a wide variety of clerical procedures that requires independent judgment, ingenuity and initiative in the utilization of computers and other equipment. Knows the existing lines of communication and authority, handles communications properly and is dependable and cooperative. Works with staff and understands appropriate scheduling and authorization process. Excellent knowledge of Scheduling procedures. Identify issues and bring problems to resolution. Handle physician office, hospital/imaging center and patient complaints in a professional timely manner. Assist with hiring, training and orientating new employees. Assist with employee engagement activities and performance improvement initiatives. Must be flexible with work hours to meet department needs. Core Responsibilities and Essential Functions: Scheduling Duties - Knowledge of all Medical Imaging exams in all modalities, Demonstrate understanding of scheduling/Medical Imaging Procedures. Basic knowledge of scheduling workflow. - Maintain Scheduling Duties. Knowledge of CPT codes, Diagnosis codes and/or reasons for procedures (ICD-10) - Knowledge of testing frequencies based on insurance and Medicare guidelines. - Knowledge of various insurance programs offered by each carrier (TPA) - Knowledge of Medicare guidelines in reference to exams that require Medical necessity checks - Knowledge of insurance carriers requirements for Pre-Authorization of procedures and referrals for procedures. - Knowledge of the lead time required by an insurance carrier to process pre-auth referral numbers. - Assist the physicians office with ICD- 9 and ICD-10 codes for Medicare Medical necessity by referring to the coding helpline - Assist the physicians offices with Scheduling process - Knowledge of electronic orders (Image Now, Trace) and attaching paper orders to scheduled appointments. - Knowledge of all Medical Imaging facilities hours of operation. - Asking exam pre-screening questions to ensure that a patient meets criteria or does not have conditions that would contra-indicate the test being performed. - Knowledge of which Medical imaging exams require specialized Radiologists and able to coordinate that with the schedule to make sure the patient is scheduled at the correct facility. - Schedule procedures for Cardiopulmonary (Echocardiograms) - Knowledge of EMR, Fax and Email orders - Working Knowledge of working with orders in the Medical Imaging Schedule Orders Work Queues - Transcribe paper orders accurately. - Handle heavy phone volumes, providing appropriate telephone etiquette and scripting - Ability to type with a high degree of accuracy and computer skills to accurately input data into scheduling software. - Excellent communication and interpersonal skills to effectively obtain required minimum data set from patients, their representatives and/or physician offices; obtains verifies and updates demographic and insurance information, accurately completing scheduling questionnaires. Verify payors through real-time eligibility, if applicable. Non-RTE payors must be verified via web or phone. - Verify the accuracy of data entered and correct any errors - Superior attention to detail - Provides appropriate telephone etiquette and scripting. - Observe the guidelines of the Scheduling Policy Procedure - Assist Supervisor with monthly reports - Assist with Quality Assurance (employee call monitoring evaluations). - Acts in a way that demonstrates deep personal integrity and serves as a positive example. - Ability to exercise judgment in taking appropriate actions in emergent situations, take initiative when problem solving, retain composure in stressful situations and escalate issues as necessary - Continuously Monitor phone queues providing adequate coverage, making adjustments as needed - Monitor Schedule Order work queues making staffing adjustments as needed - Assume other duties as needed to support the staffing needs of the department (May be delegated on a daily basis) - Ability to exercise judgment in taking appropriate actions in emergent situations, take initiative when problem solving, retain composure in stressful situations and escalate issues as necessary - Maintain neat attire, hair and appearance, following the department dress code. Customer Focus and Communication Customer FocusEngagement (internal and External Customers) - Ability to interact respectfully with co-workers, patients, referring office staff in a friendly, personable and professional manner - Promote positive working relationships with co-workers, Team Leads, Supervisors and Managers. - Orientates new employees and assures proper documentation of training - Assists other areas of Scheduling when needed - Flexible with hours to meet department needs - Assist in the interview process of new hires if asked - Understands existing lines of communication and authority, handles communications properly and is dependable and cooperative - Meets Service Recovery and Customer Service guidelines as needed - Views oneself as a reflection of the organization by following through on commitments and accepting ownership of any mistakes he/she might make. - Work collaboratively with the team to determine areas of optimization and develop solutions. - Takes responsibility for own actions, including the impact of those decisions on patients and others. Mentoring, Training, Education - Assist Supervisor in the interview process, orientates new employees and assures proper documentation of training - Understands existing lines of communication and authority, handles communications properly and is dependable and cooperative - Remain current on workflow changes and guidelines and distribute to staff as necessary under the guidance of the Supervisor. Required Minimum Education: High school graduate Required or equivalent. Required Required Minimum License(s) and Certification(s): All certifications are required upon hire unless otherwise stated.Join us and discover the support to do more meaningful work—and enjoy a more rewarding life. Connect with the most integrated health system in Georgia, and start a future that gives you more.
Website: https://wellstar.org/
Headquarter Location: Marietta, Georgia, United States
Employee Count: 10001+
Year Founded: 1993
IPO Status: Private
Industries: Fitness ⋅ Health Care