Outpatient Scheduler (Full Time) - Centralized Scheduling

Kingman Regional Medical Center; Kingman (AZ); On-site; USD 38,000 - 52,000; Full time

Job summary

Kingman Regional Medical Center is seeking an Outpatient Scheduling Representative to manage financial clearance, verify insurance, and pre-register patients for procedures and visits. The role emphasizes accurate data entry, effective communication, and adherence to department policies to support timely scheduling.

The candidate will use EMR and AIDET tools, interact with patients and staff, and strive for high accuracy while facilitating smooth workflow within Outpatient Scheduling.

Qualifications

• Candidate must communicate effectively with patients and staff.
• Strong attention to detail and accuracy in pre-registration and scheduling.
• Experience with insurance verification and financial clearance is preferred.
• Knowledge of medical terminology and coding guidelines is helpful.

Responsibilities

• Develops positive interactions with patients, staff, and visitors per policy.
• Verifies insurance information and ensures notifications/authorizations are complete.
• Pre-registers patients accurately and meets 98% accuracy.
• Validates orders and ensures appropriate diagnosis codes for procedures.
• Schedules procedures/visits in the correct department or location.
• Uses EMR and tools (AIDET) to support scheduling.

Skills

Communication

Attention to detail

Customer service

Insurance verification

Scheduling coordination

Education

High school diploma or GED; 2-5 years healthcare experience in lieu of education

Tools

Electronic Medical Records (EMR)

AIDET

Job description

Position Title: Outpatient Scheduling Representative

Department: Outpatient Scheduling

Reports to: Outpatient Scheduling Manager

Position Purpose:

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.

Qualifications

Education: High school graduate/GED or 2-5 years healthcare experience in lieu of education requirement.

Experience: Six months or more of progressive work experience

Preferences

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

Key Responsibilities

[List of material responsibilities and essentials duties which must be completed in achieving the objectives of the position]

Outpatient Scheduling Representative:

1. Develops and maintains positive interactions with patients, visitors, medical staff, and employees, in accordance with KHI mission, vision, and values.
2. 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.
3. Accurately pre-registers patients and consistently meets accuracy expectations of 98%.
4. Accurately validates orders per scheduling guidelines and verifies diagnosis codes are appropriate for ordered procedures.
5. Schedules procedures/visits in the appropriate area (department, imaging modality room, KHI location).
6. Utilizes designated tools and resources as directed (i.e. electronic medical record, AIDET, etc.).
7. Meets designated productivity standards to schedule cleared outpatient visits in a timely manner.
8. Works to increase upfront collections by communicating to the patient their co-pays/deductibles and documenting that information to secure collection.
9. Consistently demonstrates a willingness to assist co-workers in a courteous manner to support department efficiency.
10. Completes all assigned duties accurately and in a timely manner.
11. Ability to communicate effectively with others, to manage multiple priorities and tasks, to maintain attention to detail.
12. Knowledge of and ability to use computer hardware and software applications.
13. Knowledge of medical terminology, coding rules and guidelines preferred.

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 the Lead Outpatient Scheduling Representative assists with the scheduling of staff to ensure appropriate coverage.
• Participates in the interviews for hiring new staff within the unit, as well as provides feedback to the 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.

Date Staff Position Description Created / Revised:

11/14/2019; 10/02/2020; 8/5/2024; 1/30/2026; 6/1/2026