Outpatient Scheduling Coordinator

Down East Community Hospital; Maine; On-site; USD 42,000 - 56,000; Full time

Job summary

Down East Community Hospital is seeking an Outpatient Scheduling Coordinator to manage scheduling for outpatient services across imaging and specialty departments. You will communicate with patients and staff to ensure accurate appointments, insurance pre-certification, and smooth patient flow.

The role requires strong knowledge of medical terminology, familiarity with health insurance plans, and excellent organizational and communication skills.

Qualifications

• High School Diploma or GED with on the job training.
• Experience with various computer systems and typing.
• Knowledgeable in medical terminology.
• Knowledgeable in various health insurance plans.
• Knowledgeable in daily operations of a business office and general office machines.
• Ability to work independently as well as a team setting, performing under pressure, and with periods of interruption.
• Excellent communication and organizational skills.

Responsibilities

• Schedule outpatient services for Imaging, Cardio Pulmonary, Nuclear Medicine, and Dietary departments.
• Answer incoming phone calls and return messages.
• Prescreen for third party coverage and assess medical necessity where applicable.
• Obtain insurance coverage and pre-certification numbers when applicable.
• Educate patients on service-specific instructions with staff support.
• Notify for Advanced Beneficiary Notices when needed.
• Ensure completion of physician orders and supply daily orders to registration.
• Schedule inpatients when necessary and adhere to safety policies.

Skills

Typing

Medical terminology

Insurance plans

Office operations

Communication

Organizational skills

Independence

Team player

Education

High School Diploma or GED

Job description

JOB SUMMARY AND SCOPE

The primary functionality of this position is to effectively and efficiently schedule all patients for all outpatient services in the hospital with the exception of surgeries, infusion and rehabilitation therapy in a courteous, professional manner. Patient education will be performed by the Outpatient Scheduling Coordinator for test preparation.

ESSENTIAL JOB FUNCTIONS

• Responsible for all outpatient scheduling of Imaging, Cardio Pulmonary, Nuclear Medicine, and Dietary departments.
• Responsible for all aspects of outpatient scheduling:
• Answer all incoming phone calls and return messages when applicable
• Maintain a current working knowledge of outpatient coverage issues
• Prescreen scheduled outpatient services for third party coverage including assessment of medical necessity when applicable
• Obtain insurance coverage and pre-certification numbers when applicable
• Assist physician office staff in understanding third party coverage issues
• Communicate with patients, through the office staff or directly, regarding instructions/education specific to the service scheduled
• Recognize when Advanced Beneficiary Notices are needed and notify registration staff for completion
• Ensure completion of all physician orders
• Supply registration with daily orders
• Scheduling inpatients for services when necessary
• Maintenance of supplies necessary to perform job duties
• Adhere to departmental dress code
• Seeks out needed information, staying informed and involved by attending meetings, reading memos, policies, meeting minutes, newsletters, email and other appropriate information in a timely manner.
• Reliable attendance and punctuality, including observing appropriate break times and extending a scheduled shift when necessary to meet patient demands
• Performs duties in a safe manner, in compliance with all safety policies and procedures
• Complies with the Code of Conduct and all appropriate policies and procedures
• Other duties, as assigned, that are relevant to the position and department

*DECH is an equal opportunity employer.

Requirements

MINIMUM REQUIREMENTS

• High School Diploma or GED with on the job training
• Experience with various computer systems and typing
• Knowledgeable in medical terminology
• Knowledgeable in various health insurance plans
• Knowledgeable in daily operations of a business office and general office machines
• Ability to work independently as well as a team setting, performing under pressure, and with periods of interruption
• Excellent communication and organizational skills

PHYSICAL EFFORT AND ENVIRONMENT

Sedentary: Occasionally lifts up to 10 pounds independently. Sits most of the time. Stands or walks briefly.

EXPOSURE RISK

Exposure Category III: Employee not reasonably expected to be at risk for exposure to blood borne pathogens.

QUALITY IMPROVEMENT

• Maintains current knowledge of the hospital-wide Quality Improvement Program.
• Collaborates with management to improve the effectiveness of the department through the Quality Improvement plans and processes.
• Participates in the departmental and hospital-wide Quality Improvement activities as directed by the manager.

COMPLIANCE

• Adheres to the federal, state, and local statutes and regulations.
• Adheres to the Compliance Program policies and procedures of Down East Community.
• Adheres to all Privacy and Security policies and procedures of Down East Community.
• Communicates any concern related to compliance issues to manager of department or Compliance Officer.
• Communicates any concern related to confidentiality issues to the Privacy Officer.