Scheduler

Company: Medix ( Learn More )

General Information
US-CA-Yorba Linda
N/A
High School
Full-Time
Not Specified
Not Specified
False
False
Job Description

Essential Functions:

  • Handles intake of multiple phone lines using established scripts, protocols and service processes.
  • Responds to each call in an efficient, effective, and professional manner.
  • Accurately tracks and enters calls using appropriate documentation, reporting, and database applications.
  • Providing status of HMO referrals
  • Requesting modifications and/or extensions to authorizations
  • Taking Messages/Transferring calls
  • Verify eligibility
  • Assisting members with connecting to patient portal
  • Resetting passwords for patient portal accounts
  • Assists with maintaining department databases and resource tools.
  • Notifies members of urgent approvals and denials within appropriate time frames, per guidelines set.
  • Coordinates communication and patient services with Utilization Management Team.
  • Functions as a liaison between internal departments and members regarding referral status, authorizations, eligibility, patient portal registration, physician information, and complaint resolution.
  • Interacts with multiple departments, e.g., Resource Management, I.S., Provider Relations, Utilization Management, Claims, and Eligibility to provide resolution to patient and health plan/vendor enquiries.
  • Understands and uses proper procedures to resolve problems, escalate issues, and achieve objectives in a productive and cooperative manner.
  • Provides timely feedback about processes to improve caller experiences and satisfaction.
  • Supports overall department operations through cooperation and teamwork.
  • Scheduled for anything you would see a primary care doctor for… physicals, pain, post hospital visits
  • Job RequirementsEssential Functions:•Handles intake of multiple phone lines using established scripts, protocols and service processes. •Responds to each call in an efficient, effective, and professional manner.•Accurately tracks and enters calls using appropriate documentation, reporting, and database applications.•Providing status of HMO referrals •Requesting modifications and/or extensions to authorizations •Taking Messages/Transferring calls•Verify eligibility •Assisting members with connecting to patient portal •Resetting passwords for patient portal accounts •Assists with maintaining department databases and resource tools.•Notifies members of urgent approvals and denials within appropriate time frames, per guidelines set. •Coordinates communication and patient services with Utilization Management Team.•Functions as a liaison between internal departments and members regarding referral status, authorizations, eligibility, patient portal registration, physician information, and complaint resolution. •Interacts with multiple departments, e.g., Resource Management, I.S., Provider Relations, Utilization Management, Claims, and Eligibility to provide resolution to patient and health plan/vendor enquiries. •Understands and uses proper procedures to resolve problems, escalate issues, and achieve objectives in a productive and cooperative manner. •Provides timely feedback about processes to improve caller experiences and satisfaction.•Supports overall department operations through cooperation and teamwork.•Scheduled for anything you would see a primary care doctor for… physicals, pain, post hospital visits