Centralized Scheduler

Description

Lexington Regional Health Center

Title:

Centralized Scheduler

Effective Date:
September 9, 2020

Supervisor:
Director of Surgical Services

Department:
Nursing

FLSA Status:
Non-Exempt

• Schedule appointments accurately and completes pre-registration including insurance verification of procedures for radiology, surgery, ancillary, respiratory therapy and other departments as assigned.
• Coordinates multiple appointments.
• Demonstrates positive customer service when greeting patients, care providers and others.
• Complete precertification or check pre-certification authorization including medical necessity check procedures completed at LRHC for radiology, surgery, ancillary, outpatient clinic, and family medicine specialists.
• Provides patient/family service instructions prior to appointment as directed by service department.
• Verifies insurance eligibility for services, ensure payment for services by verifying benefits with the patients insurance and/or directing them to LRHC Financial Assistant representative when patient is self-pay.
• Updates registration when patient information changes
• Ensures provider order are in Electronic Health Record.
• Checks voicemail and pools and responds to calls within a timely manner.
• Receives physician orders for all scheduled Outpatient procedures and imports the order into the patients’ pre-registered electronic medical record.
• Contacts “No Shows” on a weekly basis to reschedule their procedures.
• Communicates scheduling concerns or problems to Centralized Scheduling Lead.
• Maintain departmental policies and procedures manuals.
• Notifies appropriate leader, clinic or provider if as Service Recovery is needed to resolve customer complaint/concern.
• Participates in patient care activities that could include blood exposure and risk to blood borne pathogens (eg: lacerations, handling of blood-contaminated specimens, etc.)
• Responsible for ensuring the environment meets appropriate governing body standards.
• Ensure patients and visitors follow current infection control guidelines.
• Maintains patient and staff safety through the use of patient safety tools (TeamSTEPPS, Just Culture, etc.).
• Serves on various committees as assigned.
• Regular attendance at the assigned work location is required.
• Performs all other duties as assigned.

• Ability to read, write and use basic computer and office equipment skills as is typically acquired through the completion of a high school diploma or equivalent.
• Ability to maintain strict confidentiality with regard to protected and sensitive information.
• Ability to complete reports and correspondence at a professional level.
• Ability to immediately respond to common inquires and complaints from patients, employees, and regulatory agencies.
• Advanced communication skills to respond to inquiries from Insurance companies and Workman Compensation companies. Ability to effectively communicate with individuals from diverse backgrounds.
• Ability to read, write and use basic computer and office equipment skills.
• Basic Life Support certification via American Heart Association required within six months of hire.
• Successful completion of required knowledge and training of standard precaution and transmission protocols and when to apply during principle duties and responsibilities.

• Works in a normal office work environment with little exposure to excessive noise, dust, temperature etc.
• Sitting, walking, and/or standing for up to 90% of work time when doing Utilization Review, Preauthorizing Orthopedic and Urology surgeries and Mental Health Assessments, etc. Up to 20% of work time may push items weighing up to 50 pounds when assisting nursing staff if needed.
• Exposure to chemicals and other hazards related to patient care. Appropriate safety precautions, such as safety glasses, gloves, etc. must be used to minimize risk of injury.
• Direct exposure to body substances during patient care activities and on contaminated surfaces such as patient equipment.

• None

Job description statements are intended to describe the general nature and level of work being performed by employees assigned to this job title. They are not intended to be a complete list of all responsibilities, duties and skills required.