Scheduler

Outpatient Scheduling Representative

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.

Key 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.