JOB SUMMARY
Under the general supervision of the Patient Contact Center Supervisor, the Radiology Scheduling Specialist’s primary function is to utilize communication and management skills to coordinate seamless care delivery for patients. The Radiology Scheduling Specialist will also assist with scheduling of radiology exams and procedures. Additionally, they must obtain prior authorizations for all services that require authorization. The Radiology Scheduling Specialist collaborates with referral staff, medical providers, nursing staff and other patient care support staff.
ESSENTIAL FUNCTIONS
Responsible for verifying insurance to determine eligibility. The Radiology Scheduling Specialist must obtain or verify medical authorization based on the insurance plan and ensure plan is accepted by Curry Health Network. Scan authorization information into the EHR and document appropriately in the patient’s chart.
Gathers pertinent information as needed via EHR or from clinical team to accurately complete scheduling and authorization process. Review details and expectations about the scheduling and authorization with patients. Notifies patient of scheduling status and provides information once the patient is scheduled.
Monitors electronic health record notifications throughout the day to capture scheduling and authorization requests in real time. Tracks order information throughout the day to ensure process is complete. Provides leadership with reporting information weekly.
Respond to In-house provider questions, requests, and concerns regarding the status of patient scheduling or authorization, care coordination or follow-up status.
Follows Radiology Scheduling protocols and guidelines. Ensures that orders have been approved by technologist prior to scheduling. Works with radiology leads to ensure schedules are filled appropriately. Communicates with the patient to ensure they understand the appropriate prep instructions for the specific modality or procedure.
Collaborates with radiology staff, clinical staff and other Scheduling Specialists to efficiently schedule patients in a timely manner. Effectively communicates with department staffing and management. Notifies internal and external providers when patients cancel, decline or unable to be contacted.
Other duties as assigned to meet the needs of the department and in support of Curry Health Network's Mission, Vision, and Shared Values.
SHARED VALUES
Service: We serve with compassion and understanding.
Teamwork: We are one team – each one of us makes a difference.
Curiosity: We promote learning.
Integrity: We live by honesty, trust, and doing the right thing by our organizational values.
MINIMUM JOB REQUIREMENTS
Education & Experience
- A High School diploma or equivalent is required.
- At least one year of experience in a clinical setting is required.
- Three years of experience in a clinical setting is preferred.
Required Knowledge, Skills & Abilities
- Able to treat patients, providers and co-workers with dignity & respect at all times.
- Knowledge of the medical clinic purpose and operations.
- Ability to prioritize duties, perform them efficiently and adjust to and accept the unexpected.
- Excellent written and verbal communication skills, telephone manners and proper telephone etiquette are required.
- Knowledge of medical terminology; knowledge of various insurance plans such as Medicaid, Medicare and private insurances.
- Skills in using medical databases; CPSI-EHR systems.
- Proficient using computer software incl. Microsoft Office: Word, Excel, Outlook.
PHYSICAL REQUIREMENTS
Physical Demands
On-the-job time is spent in the following physical activities:
None of the time: Taste or Smell, Use Hands, Push/Pull, Stoop, Kneel, Crouch or Crawl
Up to 1/3 of the time: Stand, Walk and Reach with Hands & Arms
From 1/3 to 1/2 of the time: NA
Up 2/3 of the time and more: Sit, Talk or Hear
This job requires that weight be lifted, or force be exerted as follows:
None of the time: up to ormore than 100 pounds
Up to 1/3 of the time: up to 25 pounds
From 1/3 to 1/2 of the time: No requirement
Up to 2/3 of the time and more: no requirement
This job has special vision requirements as follows:
Close, distance, color, peripheral, depth perception and the ability to adjust focus.
Work Environment
This job requires exposure to the following environmental conditions:
None of the time: Extreme heat/cold; Wet/humid; fumes/airborne particles; work with explosives; vibration; outdoor weather, Toxic or caustic chemicals; Risk of electrical shock; Risk of radiation
Up to 1/3 of the time: no requirement
From 1/3 to 1/2 of the time: no requirement
The typical noise levels for the work environment is: very quiet to moderate noise.
Hearing requirements: ability to hear alarms on equipment, patient call and instructions.
This job requires the following repetitive motion actions:
0 hours per day- foot control
From 1 – 2 hours per day: grasping: firm/heavy
From 3 – 4 hours per day: no requirement
From 5 – 6 hours per day: no requirement
From 7+ hours per day: hands, grasping: simple/light