Prenatal Peds Scheduler
Children's National Hospital
Summary
Schedules, pre-certifies, verifies and documents procedures for Children's Hospital Fetal Medicine Institute. Works with parents, referring Maternal and Fetal Medicine offices, and other CNMC departments to schedule patients in a timely manner. Assures that registrations and insurance information are correct. Verifies guardianship/custody issues that might arise.
Job description
About the Role
Schedules, pre-certifies, verifies and documents procedures for Children's Hospital Fetal Medicine Institute. Works with parents, referring Maternal and Fetal Medicine offices, and other CNMC departments to schedule patients in a timely manner. Assures that registrations and insurance information are correct. Verifies guardianship/custody issues that might arise.
Patient Service Activities - Registration and Scheduling
- Process patient Pregnancy/Fetal Plan of Care from Physicians, Nurse Practitioners and Genetic Counselors.
- Confirm and correct computer aided, on-line registration with parent/guardian via telephone or in person; collect personal and insurance information.
- Discuss co-payment, deposits or payment in full requirements with parents prior to scheduled appointment; counsel parent or refer parent to Medlaw for financial counseling or establishing payment schedule.
- Contact and verify insurance company in a timely manner to pre-certify procedure, document pre-certification notes in STAR registration system and MADAMS database; contact MFMs for referrals and/or H&Ps as needed.
- Schedule various diagnostic tests using RadNet; call parent/guardian to schedule procedures and appointments for both prenatal and postnatal patients.
- Schedule patients for an appointment with physician, nurse practitioner or genetic counselor; send parent a confirmation letter of procedure/appointment.
- Coordinate appointments and/or procedures with other departments per patient needs; follow-up with each parent/patient until clinic visits are scheduled.
- Send delivery letters to outside MFMs and pediatricians after each patient visit.
- Verify that all patient visit reports are completed.
MADAMS System Management
- Post detailed notes into MADAMS database utilizing the policy guidelines.
- Maximize the Fetal Medicine Institute room block time utilization; confirm cases with the physicians and care coordinators.
- Contact system managers immediately when problems occur.
Confirmation of Procedures
- Assure that a registration for the appointments and diagnostics are in Cerner, STAR, and MADAMS systems at least two days prior to date of procedure or clinic visit.
- Confirm with parent/guardian; facilitate consents for patients who are wards of the state/district.
- Confirm that there is a Consent, Pregnancy Plan of Care and History & physical form for patients; log information into MADAMS database.
- Retrieve any rescheduled patients from referral logs promptly to ensure no delay on the day of service.
Peer Support
- Provide expertise and help to other schedulers.
- Share new insurance notifications and changes with the schedulers and managers.
- Immediately notify care team by email of any cancellations and add-on cases.
Safety
- Speak up when team members appear to exhibit unsafe behavior or performance.
- Continuously validate and verify information needed for decision making or documentation.
- Stop in the face of uncertainty and take time to resolve the situation.
- Demonstrate accurate, clear and timely verbal and written communication.
- Actively promote safety for patients, families, visitors and co-workers.
- Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance.
Requirements
- High School Diploma or GED (Required)
- 3 years progressive experience performing patient registration and scheduling, medical insurance verification, preferably in a physician's office as a receptionist or in a customer service environment
- Proficient in Cerner, Passport, STAR, and other CNHS registration systems
- Must be able to learn and become proficient in the MADAMS database system
- Excellent verbal, interpersonal, consumer relations and telephone skills
- Must answer all incoming calls and avoid messages going to voicemail
- Must respond to phone calls promptly and with courtesy and respect
- Proficient knowledge of medical insurance verification procedure, insurance screen and financial counseling, billing and healthcare business operations
- Working knowledge of CPT4/ICD9 coding
- Must be able to multi-task
- Knowledge of medical terminology
Benefits
- Medical, Prescription, Infertility & Transgender Health
- Paid Time Off
- Vacation Accrual
- Sick Leave
- Holidays
- Personal Day
- 401(k) Plan
- Healthcare & Dependent Care Spending Accounts
- Employer-Paid Life & AD&D
- Long-Term Disability
- Tuition Assistance
- Fitness Resources
- Employee Assistance
- Commuter Benefits
Company overview
Children's National Hospital is a premier pediatric healthcare institution located in Washington, D.C., recognized as one of the top children's hospitals in the United States. Founded in 1870, it serves as the region's primary pediatric academic medical center, providing comprehensive care across all pediatric specialties. The hospital operates a 323-bed facility and offers advanced medical services including neonatal intensive care, pediatric surgery, oncology, cardiology, and neurology. As an academic medical center affiliated with the George Washington University School of Medicine and Health Sciences, Children's National is deeply involved in pediatric research, medical education, and clinical innovation. The institution is particularly renowned for its Sheikh Zayed Institute for Pediatric Surgical Innovation and its leadership in pediatric genomics and precision medicine. Children's National consistently ranks among the top pediatric hospitals nationally, with specialties in cancer, cardiology, neurology, and neonatology receiving particular recognition for excellence in patient care and outcomes.