Shaw Cancer Center Referral and Scheduling Specialist

Vail Health Hospital•Edwards, CO

3d•$21 - $25

About The Position

The Referral and Scheduling Specialist is the primary point of contact for patients, Shaw Cancer Center providers, and referring providers for scheduling patient appointments, testing, treatment, and procedures in a timely and efficient manner. The role works with providers and clinical staff to obtain complete orders, schedule appointments accurately, provide procedure education, and communicate clinic locations and appointment information. The specialist verifies patient demographics and insurance details, creates encounters and pre-registration accounts, checks insurance eligibility and benefits, and coordinates new-patient intake and referrals. The role also makes scheduling and reminder calls, documents contact attempts and communications in the electronic health record, responds to incoming calls, tracks schedule changes, and supports utilization review and quality-improvement activities. The specialist works closely with clinical staff, providers, schedulers, and front desk staff to improve patient flow and related processes. As part of the business office team, the role is cross-trained to cover Patient Access Representative I duties. The specialist models Just Culture principles and Organizational Values, performs other assigned duties, and must comply with HIPAA.

Requirements

One year of medical office or clinical experience required.
Must comply with HIPAA.

Nice To Haves

Bachelor's degree preferred.

Responsibilities

Work with providers and clinical staff to obtain complete orders and schedule patient appointments, testing, and procedures accurately and promptly.
Ensure procedure education is provided and communicate accurate clinic locations and appointment information before appointments.
Verify patient demographics and insurance details, create encounters, and complete accurate pre-registration accounts and insurance eligibility and benefits verification.
Complete detailed new-patient intake and coordinate scheduling of new referrals with patients, clinical staff, and referring providers’ offices.
Use scheduling request lists to make outgoing scheduling calls, document contact attempts, set follow-up dates, enter clear EHR comments, and follow reminder-call procedures.
Answer incoming calls, take complete messages, document calls in the electronic medical record, and prioritize and redirect calls appropriately.
Communicate respectfully, courteously, and sensitively with internal and external parties.
Track schedule changes, including cancellations, reschedules, add-ons, and transfers.
Provide supporting documentation to leadership for utilization review and quality-improvement activities.
Work with clinical staff, providers, schedulers, and front desk staff to improve patient flow and processes.
Cross-train and provide cross-coverage for Patient Access Representative I duties.
Model Just Culture principles and Organizational Values, perform other duties as assigned, and maintain HIPAA compliance.