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Access Center Representative

Department: CNE-Access Center
Operating Unit Care New England
Location: Providence, RI
Job ID: 19309
Job Status: Full Time
Shift: Days
Schedule: Other

Job Summary:

The Care New England Access Care Representative is responsible for scheduling outpatient testing appointments, as well as provider office appointments for practices across the Care New England Health System.

Duties and Responsibilities:

Responsible for maintaining scheduling priority through inbound scheduling calls or request for service (RFS) worklist and incoming faxes to make outbound scheduling phone calls.

Communicates with physicians, physician office staff, and patients to obtain accurate patient insurance, medical, testing and appointment information, per the Minimum Data Set (MDS).

Coordinates interpreter services as needed. Coordinates schedule based upon physician privileges, procedure descriptions, scheduling rules, and insurance requirements.

Creates initial patient registration in hospital information system; assigning patient medical record number and encounter financial number to begin the preregistration process.

Efficiently schedules patients per exam type, indication and priority, rearranging schedules across various departments and practices within the Care New England Health System, and satellite locations when needed to accommodate urgent situations.

Interacts with multiple departments and practices across the Care New England system to insure daily schedules meet maximum capacity and appropriateness.

As need arises, scheduler will communicate last minute patient scheduling needs to accommodate same-day appointment requests as well as any overbooking scheduling with various departments and practices across the Care New England Health System.

Fosters a team approach towards achieving the overall goals of the revenue cycle and CNE hospitals.

The role would also be cross-trained to be responsible for management of any incoming request for service for a variety of appointments across the Care New England Health System.

Coordinates with physicians across a variety of departments and practices within CNE to ensure any incoming request for service is accurate and complete, ready to be scheduled for the appropriate patient appointment.

Promptly obtains incomplete information on required forms until all data is received, and communicates with the providers regarding authorization numbers as required.

Notifies coordinator in a timely manner of problems in obtaining necessary data.

Ensures that proper document authorizations are secured for procedures and/or tests.

Responsible for fostering inclusivity and collaboration across various departments and practices within the Care New England Health System to ensure all referring providers are held to the highest standard for documentation when requesting a service through an order or referral.

Requirements:

A high school diploma required.

Two years’ experience in a medical setting and customer service environment required.

Certificate or working knowledge of medical terminology and strong oral communication skills are required.

Minimum typing speed of 40 words per minute (wpm) with a working knowledge of personal computers, ability to prioritize and perform multiple duties simultaneously, ability to handle a high volume of calls and exhibit strong organizational skills are required.

Must be able to adapt to continual process changes.

Willing to work additional hours and change work schedule as need arises.

Care New England Health System (CNE) and its member institutions, Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center, are trusted organizations fueling the latest advances in medical research, attracting top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health.

Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis.

EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.