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.

Work Shift

Job Summary:

The CR/PR Scheduler functions under the direction of the Cardiac/Pulmonary Rehab Manager. Provides outstanding customer service to customers in a fast-paced busy environment. Drive system wide volumes by scheduling Cardiac and Pulmonary Rehab appointments via inbound and/or outbound telephone calls, in person, or EMR Referral Work Queue. Observing Quality and Productivity standards and other Key Performance Indicators. 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 process, willing to learn patient care tasks. Assist other Cardiac/Pulmonary Rehab programs with scheduling issues in a timely manner as needed. Handle heavy phone volume. Must be flexible with work hours to meet department needs.

Core Responsibilities and Essential Functions:

Scheduling Duties Knowledge of Diagnosis codes or reasons for participation Knowledge of various insurance programs offered by each carrier Knowledge of Medicare guidelines regarding exams that require Medical necessity checks (Follow ABN process) Knowledge of insurance carriers requirements for Pre-Authorization of procedures and referrals for procedures (Referring to Insurance Quick Reference guide). Knowledge of the lead time required by an insurance carrier to process pre-auth referral numbers. Knowledge of all Cardiac/Pulmonary Rehab facilities hours of operation. Knowledge of EMR, Fax and Email orders Working Knowledge of referrals in the Cardiac/Pulmonary Rehab EMR Work Queues Knowledge of electronic referrals (Image Now, Trace) and attaching paper referrals to scheduled appointments. Handle heavy phone volumes, providing appropriate telephone etiquette and scripting Schedule new patient assessments and provide all relevant information to assessor. Collect co-pays when applicable. Follow up on insurance denials and patient concerns. 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 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. Team Player 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 Performs other duties as assigned Complies with all Wellstar Health System policies, standards of work, and code of conduct.

Required Minimum Education:

• High School Diploma General or GED General or Accredited Program Other-Preferred

Required Minimum License(s) and Certification(s):

All certifications are required upon hire unless otherwise stated.

Additional License(s) and Certification(s):

Required Minimum Experience:

Minimum 2 years of front office experience or equivalent Required

Required Minimum Skills:

Strong customer service skills, good communication and organizational skills. Basic insurance carrier and pre-certification knowledge and computer skills preferred. Basic typing and data entry experience. Medical Terminology preferred. The individual must be able to communicate and understand verbal and written English language and display a positive attitude. This position requires a high level of attention to detail and a low error rate, as the consequences of even a minor mistake can be significant for patients and providers. In addition, this position requires regular, reliable attendance.

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.