Outpatient Scheduler - Full Time

About the Role

All KHI employees are expected to perform their respective tasks and duties in a manner that supports KHI’s vision to be among the kindest, highest quality health systems in the country. This position is responsible for financially clearing all outpatient referrals as ordered by the referring provider. Financial clearing includes validating the order, checking medical necessity, verifying insurance eligibility, obtaining authorization (when necessary), scheduling procedures/visits, pre-registration, communicating financial responsibility to the patient, scanning documents, and noting all communication into the patient chart.

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 (department, imaging modality room, KHI location).
• Utilizes designated tools and resources as directed (e.g., electronic medical record, AIDET).
• Meets designated productivity standards to schedule cleared outpatient visits in a timely manner.
• Works to increase upfront collections by communicating to the patient their co-pays/deductibles and documenting that information to secure collection.
• Consistently demonstrates a willingness to assist co-workers in a courteous manner to support department efficiency.
• Completes all assigned duties accurately and in a timely manner.
• Communicates effectively with others, manages multiple priorities and tasks, and maintains attention to detail.
• Uses computer hardware and software applications.
• Knowledge of medical terminology, coding rules, and guidelines preferred.

Lead Outpatient Scheduling Representative Responsibilities

• Provides day-to-day leadership and supervision of scheduling team members, trains and orients new hire schedulers, and works with supervisors to provide continuous training of existing staff.
• Performs QA audits, works account checks, and responds to account denials.
• In the absence of the supervisor, assists with the scheduling of staff to ensure appropriate coverage.
• Participates in interviews for hiring new staff within the unit and provides feedback to supervisors for performance evaluations.
• Identifies, supports, and manages process improvement initiatives for the team.
• Collaborates with management to assist in the day-to-day operations of the team.

Requirements

• High school graduate/GED or 2-5 years of healthcare experience in lieu of education requirement.
• Six months or more of progressive work experience.

Preferences

• One year of hospital outpatient scheduling and/or insurance verification experience in a hospital setting.

Special Position Requirements

• Exposure category II: Expected duties have possible, but not routine, potential for exposure to blood, body fluids, or tissues.
• Possible exposure to chemical substances; possible exposure to hostile individuals.