Clinical Scheduling Specialist Surgical Services

Riverview Health•Westfield, IN

About The Position

The Clinical Scheduling Specialist communicates with patients to schedule and prepare them for surgical procedures. The role includes patient outreach, appointment scheduling, questionnaire completion, and maintaining timely and accurate documentation in the patient charting system. It also supports primary care services, payer risk-adjustment programs, post-discharge follow-up, chart reviews, quality reporting, and compliance with regulatory and financial guidelines.

Requirements

High school diploma or equivalent.
Completion of a qualified Medical Assistant program, CNA program, or other medical background, plus a minimum of five years of work experience.
At least six months of medical experience or physician billing/coding experience in a physician practice setting.
Basic knowledge of Microsoft Excel, data entry, and clinical documentation.

Nice To Haves

Three or more years of experience as a Medical Assistant or in another clinical role, or physician billing/coding experience.
Previous patient care experience in a physician practice setting.
Certified or Registered Medical Assistant.

Responsibilities

Conduct patient calls and send letters to patients needing primary care services.
Assist with scheduling primary care visits, Annual Wellness Visits, and Transitional Care Management visits.
Distribute patient-specific health questionnaires to primary care providers and coordinate with staff to complete the forms.
Collect completed patient-specific health questionnaires and submit requested information to payers to support payer risk-adjustment programs.
Complete daily post-discharge phone calls to recently discharged patients to review possible home-care challenges and arrange visits with their primary care providers.
Perform chart audits and reviews at the request of payers, management, information services, and providers to ensure proper documentation or update payer records.
Submit electronic health record elements to payers in accordance with information security and technology requirements.
Assist office clinical staff with workflows that ensure accurate documentation to support quality reporting requirements.
Review and document health care standards accurately and follow written guidance to ensure compliance with regulatory and financial guidelines.
Perform other duties as assigned.