Outpatient Scheduler (Full Time) - Centralized Scheduling

Kingman Healthcare•Kingman, AZ

18h

About The Position

The Outpatient Scheduling Representative is responsible for financially clearing outpatient referrals as ordered by referring providers. Financial clearance includes validating orders according to department protocols, checking medical necessity, verifying insurance eligibility, obtaining authorization when necessary, scheduling procedures and visits, completing pre-registration, communicating patients’ financial responsibilities, scanning documents, and recording communications in the patient chart. The role also provides day-to-day leadership and supervision for scheduling team members. The representative trains and orients new schedulers, supports ongoing staff training, performs quality assurance audits and account checks, responds to account denials, helps ensure staffing coverage when the supervisor is absent, participates in hiring interviews, provides feedback for performance evaluations, supports process improvement initiatives, and collaborates with management on team operations.

Requirements

High school graduate or GED, or 2–5 years of healthcare experience in lieu of the education requirement.
Six months or more of progressive work experience.
Ability to communicate effectively with others.
Ability to manage multiple priorities and tasks while maintaining 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.
Knowledge of medical terminology and coding rules and guidelines.

Responsibilities

Develop and maintain positive interactions with patients, visitors, medical staff, and employees in accordance with the organization’s mission, vision, and values.
Protect patient information and hospital financial reimbursement by updating demographic information, verifying insurance information, and ensuring required notifications and authorizations are complete according to department policies and procedures.
Pre-register patients accurately and consistently meet the stated 98% accuracy expectation.
Validate orders according to scheduling guidelines and verify that diagnosis codes are appropriate for the ordered procedures.
Schedule procedures and visits in the appropriate department, imaging modality room, or organizational location.
Use designated tools and resources as directed, including the electronic medical record and AIDET.
Meet productivity standards for scheduling financially cleared outpatient visits in a timely manner.
Support upfront collections by communicating copays and deductibles to patients and documenting the information to secure collection.
Assist coworkers courteously to support department efficiency.
Complete assigned duties accurately and in a timely manner.
Provide day-to-day leadership and supervision of scheduling team members; train and orient new schedulers and work with supervisors to provide ongoing staff training.
Perform quality assurance audits and account checks, and respond to account denials.
Assist with scheduling staff to ensure appropriate coverage when the supervisor is absent.
Participate in interviews for new unit staff and provide supervisors with feedback for performance evaluations.
Identify, support, and manage team process-improvement initiatives.
Collaborate with management on day-to-day team operations.