Outpatient Scheduler (Full Time) - Centralized Scheduling

Kingman Regional Medical Center•Kingman, AZ

About The Position

The Outpatient Scheduling Representative is responsible for financially clearing outpatient referrals as ordered by referring providers. Financial clearing includes validating orders according to department protocols, checking medical necessity, verifying insurance eligibility, obtaining authorization when necessary, scheduling procedures and visits, pre-registering patients, communicating financial responsibility to patients, scanning documents, and documenting communications in the patient chart. The position also provides day-to-day leadership and supervision for scheduling team members, trains and orients new schedulers, and supports ongoing training of existing staff in collaboration with supervisors. It performs quality assurance audits, account checks, and denial follow-up; helps coordinate staff coverage when the supervisor is absent; participates in hiring interviews and performance feedback; supports process improvement initiatives; and collaborates with management on daily 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, and ensuring required notifications and authorizations are complete according to department policy 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 ordered procedures.
  • Schedule procedures and visits in the appropriate department, imaging modality room, and location.
  • Use designated tools and resources, including the electronic medical record and AIDET.
  • Meet productivity standards for scheduling cleared outpatient visits in a timely manner.
  • Communicate copays and deductibles to patients, document the information, and support upfront collections.
  • Assist coworkers courteously to support department efficiency.
  • Complete assigned duties accurately and on time.
  • Communicate effectively, manage multiple priorities and tasks, and maintain attention to detail.
  • Provide day-to-day leadership and supervision to scheduling team members.
  • Train and orient new-hire schedulers and work with supervisors to provide ongoing training for current staff.
  • 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 hiring interviews and provide supervisors with performance evaluation feedback.
  • Identify, support, and manage team process-improvement initiatives.
  • Collaborate with management on the team’s day-to-day operations.
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