Diagnostic Scheduler
Summary
Schedules diagnostic appointments and manages authorizations for a cancer care center, handling referrals, phone calls, and insurance pre-authorizations while coordinating between clinical staff and patients. Uses medical scheduling systems and requires knowledge of medical terminology.
Promotes a professional practice image by the efficient performance of a variety of business and clerical related tasks designed to facilitate the smooth flow of patients and work throughout the organization.
Duties and responsibilities
- Answers telephones and direct calls to appropriate staff
- Checks phone messages twice daily and return all urgent messages before lunch, midafternoon, and prior to leaving for the day
- Responsible for obtaining and processing referral for all diagnostic scheduling
- Schedule all diagnostics, process referrals; provide patient appointment, and instructions
- Secures authorizations for all managed care cases in a timely manner
- Pre-authorizations for all diagnostic scheduling as applicable
- Maintains an accurate file system for insurance lists and office forms
- Retrieves, routes, and processes information as appropriate from right fax daily
- Orders in active queue should be cleared within 30 days
- Tracks all authorizations and maintains authorization information by keeping up to date with the status and outcome of all requests
- Documents and takes action on all routine orders within 72 hours of order being placed
- Documents and takes action on all STAT orders within 24 hours of order being placed
- Meets team average of 300 orders per month at minimum
- Communicates with scheduling operators, clinical staff, managers/supervisors regarding inquiries and referrals
- Communicates with clinical staff and third party payors regarding medical necessity for authorizations of home care services and reminders regarding insurance authorization expirations
- Follow established procedures for authorizing requests or referring request for further review
- Meet timelines placed by physician on each order
- Follow confidentiality and security rules when providing information to outside sources
- Performs other tasks as requested
Qualifications/Education Requirements
- High school diploma or equivalent required
- One year work experience with scheduling medical office appointments
- Knowledge of medical terminology preferred
- Completion of a recognized medical secretarial program preferred
- Word processing and computer experience required
- Answer multi-line phones
- Good organizational skills
- Must have the ability to deal with confidential information concerning patient diagnosis and medical records
License or Certification
N/A
Working conditions/ Physical requirements
Able to work 40 hours per week
Clinical office setting
Ability to see details at close range
Ability to work with urgency
Ability to listen and understand information through spoken words and sentences
Ability to read and understand information in writing
Ability to communicate information in speaking so others will understand
Sitting for long periods of time
Daily uses of hands to type, file, and write/sign documents
Minimum lifting requirements of 15 pounds in order to move office supplies