PSR Scheduler Orthopedic Hospital for Special Surgery at NCH

About HSS at NCH

At Hospital for Special Surgery (HSS) at Naples Comprehensive Health (NCH), we don't settle for ordinary-we redefine what's possible in healthcare. Ranked the orthopedic hospital in the nation by U.S. News & World Reportfor15 consecutive years, and the orthopedic hospital in the world by Newsweek, HSS has partnered with NCH to bring that world-class legacy home to Naples. We've built a state-of-the-art facility where cutting-edge surgical innovation, advanced rehabilitation, and pioneering research all come together to offer patients world-class excellence in care. Learn more at HSSatNCH.org, HSS.edu, and NCHMD.org.

At HSS at NCH, we foster a vibrant, high-performing culture that empowers people to thrive as themselves. Our team is made up of some of the brightest minds in the field, driven by a relentless pursuit of innovation and a shared commitment to pushing boundaries in healthcare. Together, we're not just treating patients-we're delivering outcomes that transform lives.

Why Join Us?

Joining HSS at NCH means more than taking a job-it's an invitation to contribute to something greater. You'll collaborate with leading experts in a dynamic environment that challenges you to be your best, alongside the best. Here, you'll become part of a future that's as ground breaking as our beginning-and that's something to be passionate about. At HSS at NCH, you'll find a career that fosters your growth and empowers people to move better, live healthier, and make a lasting impact.

JOB SUMMARY

The Patient Service Representative/Scheduler provides a vital link in the chain of Quality of Care; the PSR supports the clinic by serving as first point of contact to patients and completing all administrative tasks associated with scheduling, patient interaction, and insurance verification. The PSR/Scheduler is responsible for obtaining all information to ensure verification and authorization of services provided can be obtained. Scheduler duties will vary based on the business unit or office associated with the Scheduler role.

ESSENTIAL DUTIES AND RESPONSIBILITIES

- Other duties may be assigned.

Fulfills patient care responsibilities as assigned, which includes checking schedules and organizing patient flow.

Recognizing any changes in patient's condition upon presentation in the office and conveys the changes to clinical team members or providers.

Collects patient history form upon intake, which includes current medications, allergies, symptoms, etc.

Obtains required personal information necessary to identify all new and existing patients and the correct demographic and preliminary financial information to enable the creation of new patient medical records and the pre-processing of required authorizations / pre-certifications before the appointed visit.

Prioritizes all insurance coverage - primary / secondary / tertiary etc. Enter properly into demographic record.

Accurately uses appropriate search methods (DOB, SSN, etc.) to ensure the correct patient is identified.

Verifies patient information on file is accurate and updated as per company standards; updates patient data when insurance, address, or other information has changed.

Verifies patient registration profiles each time patient comes for a visit. Edits patient registration profiles when necessary.

Obtains all consents for treatment, including forms for the release of medical information and patient's acceptance of financial responsibility for all services rendered, when applicable.

Completes required Medicare questionnaires (ABN Forms) for appropriate patients and tests under Medicare guidelines.

Accurately and completely processes physician's referrals and orders and enters the tests into the Electronic Medical Record (EMR); should be well versed with templates and ordering.

Maintains patient clinical forms (ie: prescriptions, laboratory requisitions, etc) for patient pick-up.

Ensures respective patient medical record information, all collected forms, and photocopied documentation, are placed in the EMR in the proper location.

Schedules appropriate new and follow-up medical/surgical appointments and radiological testing procedures for respective physician sites, based on the patient's specific needs.

Announces scheduled and non-scheduled (if appropriate) patients to the clinical staff.

Confirms and reminds patients of scheduled appointments in accordance with the clinic's procedures.

Gives patients standardized preliminary clinical instructions and directions in preparation for a scheduled office visit, radiological test, or procedure as needed.

Collects and deposits all required and mandatory insurance co-payments and deductibles according to specific protocols (i.e.: time of service collection policy).

Monitors patient waiting time and relays information regarding delays to patients and family members.

Ensures benefits & eligibility has been verified for all scheduled patients.

Accurately enters charges for all services performed.

Accurately enters payment information for each payment collected.

Produces appropriate reports to reconcile charges and payments with data entered into EMR.

Prepares daily close report detailing reconciliation, prepares bank deposit & submits daily close report to accounting for reconciliation with bank.

Must be able to communicate with staff, supervisors, peers, and associates and maintain a positive working environment when manager is not present. Functions as a liaison between our physician's office(s), referral physicians, and ancillary services and the patients.

Fields questions by both physicians and patients regarding codes, charges, etc. PSR understands when questions require further explanation by Practice Manager or Biller.

EDUCATION, EXPERIENCE AND QUALIFICATIONS

Minimum of High School or GED required.

Intermediate computer knowledge: Uses Microsoft Word, Excel, Outlook, and Windows