The Referral and Scheduling Specialist is responsible for being the primary contact between outside providers, Vail Health Clinic providers, surgeons and patients to organize, coordinate, request necessary medical records, scan, schedule, and work to pre-authorize procedures and surgeries.
ESSENTIAL JOB FUNCTIONS:A
Accurately schedules appointments, procedures, and surgeries. Coordinates with the physicianas office on pre-determination requirements.
Works closely with ancillary departments, all clinic staff, providers and the manager to ensure accuracy of the schedule and to ensure all outside medical records, equipment, supplies, etc. are available for the patientas appointment.
Tracks certain schedule changes including, but not limited to, source of cancellations, add-ons, transfers, etc. Assists the manager with utilization review and quality improvement activities by providing supporting documentation to Administration when questions arise.
Responsible for answering phone calls and returning calls in timely manner.
Accurately completes the Insurance Verification process through Cerner Revenue Cycle and works closely with Vail Health insurance verifiers to determine benefit eligibility and requirements for patients.
Notifies patients of estimated financial liability and acts as a financial counselor regarding insurance and payment options that follow Vail Health Clinicas policy.
Assists with coordinating procedure education, accurate clinic location, and appointment information prior to appointment date and time.
Completes daily reminder calls and utilize automated reminders for all patients and documents outcome in the patientas chart. Keeps accurate and up-to-date patient waiting list to offer patients open slots when patients cancel or reschedule.
Assists and backs up front office staff, as needed.
Role models principles of a Just Culture and Vail Health Values.
Perform other duties as assigned. Must be HIPAA compliant.
This description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.
One year of medical office or clinical experience required.
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Computer / Typing:
Must possess, or be able to obtain within 90 days, the computer skills necessary to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc. Office-level typing and computer skills are required.
Must have working knowledge of the English language, including reading, writing, and speaking English.
Vail Health, formerly Vail Valley Medical Center, is a nonprofit community health care system serving patients and guests from around the world. Locally operated and governed by a volunteer board of directors, Vail Health includes a 56-bed hospital, accredited by the Joint Commission. Our 24/7 emergency department in Vail is a Level III Trauma Center with a nearby helipad for necessary medical transports. Vail Health provides a wide array of services and access points including Beaver Creek Medical Center, urgent care clinics in Avon and Gypsum, our Edwards medical campus, Eagle Healthcare Center and a multispecialty clinic in Frisco. Howard Head Sports Medicine offers physical therapy services at 10 locations and works closely with our internationally renowned orthopaedic partners at The Steadman Clinic and Vail-Summit Orthopaedics. In addition, Vail Health's Shaw Cancer Center and Sonnenalp Breast Center are the region’s only fully accredited cancer treatment center and comprehensive breast center. The Vail Clinic, which was founded in 1965, officially became “Vail Valley Medical Center” in 1980, its first year as a full-service hospital. At that time, we had one primary locatio...n and 25 physicians. Today, Vail Health has locations in nine towns, nearly 1,000 employees, 260 physician partners and 85 volunteers. Vail Health is an equal-opportunity employer. The hospital is handicap accessible and adheres to the Americans with Disabilities Act. Smoking is prohibited in our facilities. This includes e-cigarettes.