Referral Scheduler RMG

Riverside Health System•Hampton, VA

20h•Onsite

About The Position

This position involves scheduling surgeries with patients, posting surgeries at designated hospitals, and arranging preoperative and post-operative office appointments. The role requires compiling patient surgery charts, completing preliminary paperwork for physician review, and obtaining pre-certification/insurance checks. The scheduler is responsible for copying and sending surgical paperwork, including labs and H&P forms, to hospitals after pre-operative examinations. Coordination of pre-operative surgical tests and clearances with facilities, as well as special equipment with instrumentation companies, is also key. The role includes preparing and distributing weekly surgical posting sheets for billing. The individual will promote teamwork, identify and report changes in patient condition to nurses, and collaborate with physicians and office staff to meet patient needs. Maintaining knowledge of compliance requirements (facility, DNV, State, HIPAA) is essential. General receptionist duties, including answering calls and scheduling procedures, are part of the role. The position requires proficiency in multiple computerized software systems for scheduling, order entry, and accessing patient information for transfers, as well as for ordering supplies. The role involves identifying and resolving issues related to labs, x-rays, and OR schedules, coordinating cases with multiple offices for pre-op tests, providing prep instructions, notifying Patient Navigation for cancer cases, and setting up physical therapy. Approximately 90% of the role involves face-to-face customer service with patients. The scheduler is expected to support departmental productivity through volunteering for and recommending creative changes, including flexing and shift changes, and to obtain appropriate authorization for optimal reimbursement, including providing clinical information to insurance carriers.

Requirements

High School Diploma or GED
1 year recent surgical scheduling experience
Time management and organizational skills
Proficiency in Microsoft Office Suite
Good communication and interpersonal skills
Ability to multitask and prioritize deadline-driven workloads

Nice To Haves

Associates Degree, in related field
Bachelors Degree, in related field
Medical Coding

Responsibilities

Schedule surgery with patients.
Post surgery at designated hospitals.
Schedule preoperative and post-operative office appointments for surgical patients as indicated.
Compile patient's surgery charts and appropriate paperwork.
Complete preliminary paperwork needed for each surgical patient and place in chart for physician to review.
Obtain pre-certification/insurance checks when necessary.
After pre-operative examination, copy each patient's surgical paperwork to include labs, H&P forms, etc., and send same to the appropriate hospital.
Schedule and coordinate with appropriate facility any needed pre-operative surgical tests or clearances for patients.
Coordinate with the appropriate instrumentation companies for any special equipment needed.
Prepare and distribute the weekly surgical posting sheet to the appropriate persons for billing.
Promote team work by working effectively as a team member as well as independently.
Seek assistance as needed.
Consistently and accurately identify and report changes in patient condition/behavior to a Registered Nurse or Licensed Practical Nurse.
Collaborate with physicians and physician office staff to provide for the specialized needs of patients.
Maintain a working knowledge of facility, DNV, State and HIPAA compliance requirements (National Patient Safety Goals).
Perform general receptionist duties for the department to include answering the posting telephone, transferring calls and scheduling surgical procedures.
Demonstrate the ability to perform scheduling and order entry utilizing the departmental/facility's assigned multiple computerized software system.
Direct Admits as necessary.
Demonstrate the ability to perform surgical scheduling utilizing the department/facility's assigned computerized software system.
Demonstrate the ability to identify and complete follow-up measures to resolve issues/concerns (lab, x-ray, OR schedule).
Coordinate cases with multiple offices for multiple pre-op tests.
Give prep instructions for tests and surgeries.
Notify Patient Navigation as necessary for cases of cancer.
Set up physical therapy when necessary.
Do line-ups for surgery with surgical facilities.
Demonstrate ability to navigate systems to access patient information to facilitate transfers.
Utilize systems proficiently to communicate and order supplies, forms etc.
Demonstrate understanding of the importance of the services provided by department and help to ensure timely delivery of services to staff, patients, and visitors.
Support personal departmental productivity through volunteering for and recommending creative changes to include flexing and shift changes to meet the needs of the department.
Obtain appropriate authorization thus ensuring optimal reimbursement for services rendered.
Able to give clinicals to insurance carriers.