Outpatient Scheduler - Full Time

Kingman Healthcare•Kingman, AZ

3d•Onsite

About The Position

This position is responsible for financially clearing all outpatient referrals as ordered by the referring provider. Financial clearing includes but not limited to, validating the order (following protocols designed by the departments the order is referred too), checking medical necessity, verifying insurance eligibility, obtaining authorization (when necessary), scheduling procedures/visits, pre-registration, communicating financial responsibility to patient, scanning documents, and noting all communication into patient chart. The Outpatient Scheduling Representative develops and maintains positive interactions with patients, visitors, medical staff, and employees, in accordance with KHI mission, vision, and values. They protect patient information and hospital financial reimbursement by updating demographic information, verifying insurance information, and ensuring that all notification/authorizations are complete according to department policy and procedures. The Lead Outpatient Scheduling Representative provides day-to-day leadership and supervision of scheduling team members, trains and orients new hire schedulers, and works with Supervisors to provide continuous training of existing staff. They perform QA audits, work account checks, and respond to account denials. In the absence of the supervisor, the Lead Outpatient Scheduling Representative assists with the scheduling of staff to ensure appropriate coverage. They participate in interviews for hiring new staff within the unit, as well as provide feedback to the supervisors for performance evaluations. They identify, support, and manage process improvement initiatives for the team and collaborate with management to assist in the day-to-day operations of the team.

Requirements

High school graduate/GED or 2-5 years healthcare experience in lieu of education requirement.
Six months or more of progressive work experience.
Knowledge of medical terminology, coding rules and guidelines preferred.
Ability to communicate effectively with others, to manage multiple priorities and tasks, to maintain attention to detail.
Knowledge of and ability to use computer hardware and software applications.

Nice To Haves

One year of hospital outpatient scheduling and/or insurance verification experience in a hospital setting.

Responsibilities

Develops and maintains positive interactions with patients, visitors, medical staff, and employees, in accordance with KHI mission, vision, and values.
Protects patient information and hospital financial reimbursement by updating demographic information, verifying insurance information, and ensuring that all notification/authorizations are complete according to department policy and procedures.
Accurately pre-registers patients and consistently meets accuracy expectations of 98%.
Accurately validates orders per scheduling guidelines and verifies diagnosis codes are appropriate for ordered procedures.
Schedules procedures/visits in the appropriate area (department, imaging modality room, KHI location).
Utilizes designated tools and resources as directed (i.e. electronic medical record, AIDET, etc.).
Meets designated productivity standards to schedule cleared outpatient visits in a timely manner.
Works to increase upfront collections by communicating to the patient their co-pays/deductibles and documenting that information to secure collection.
Consistently demonstrates a willingness to assist co-workers in a courteous manner to support department efficiency.
Completes all assigned duties accurately and in a timely manner.
Ability to communicate effectively with others, to manage multiple priorities and tasks, to maintain attention to detail.
Knowledge of and ability to use computer hardware and software applications.
Provides day to day leadership and supervision of scheduling team members, trains, and orients new hire schedulers and works with Supervisors to provide continuous training of existing staff.
Performs QA audits, works account checks, and responds to account denials.
In the absence of the supervisor the Lead Outpatient Scheduling Representative assists with the scheduling of staff to ensure appropriate coverage.
Participates in the interviews for hiring new staff within the unit, as well as provides feedback to the supervisors for performance evaluations.
Identifies, supports, and manages process improvement initiatives for the team.
Collaborates with management to assist in the day-to-day operations of the team.