Referral Specialist/Procedure Scheduler

Summary:  The Referral Specialist/Procedure Scheduler position plans and coordinates the surgery scheduling process, including prior authorizations, booking surgeries and procedures, educating patients about pre and post-surgical instructions, schedules post-operative visits, prepares paperwork as needed and supports providers and patients with any needs they may have related to the surgical process.

To a more limited extent, the Referral Specialist/Procedure Scheduler position would be responsible for assisting with other nursing functions as time allows. These activities would include scheduling inductions and C-sections, rooming patients, providing immunizations, maintaining medical records, assisting with women’s health projects and calling patients to deliver messages on behalf of the provider.

Reports to:  Referrals Coordinator

Supervises:  No

Dress Requirement: scrubs in accordance to Heart of Ohio Family Health’s dress code policy

Work Schedule: F/T

Monday through Friday during standard business hours

Times are subject to change due to business necessity

Non-Exempt   þ

Job Duties, these are considered essential to the successful performance of this position:

• Ensure, organize, and maintain an active, accurate, and operational surgery schedule by coordinating all surgeries and procedures for assigned providers.

• Coordinate surgical procedures with multiple hospitals, schedule and coordinate pre-operative testing, communicate surgery orders, and collect necessary documentation for surgeries.

• Submit prior authorization requests to various insurance carriers as needed in a timely manner.
• Interact with patients, patients’ families, referring physicians and third-party carriers with regard to patient-related issues.
• Set post-surgical appointments.
• Respond to calls, emails, complaints, and queries that patients might have regarding their planned surgery.
• Give patients surgical pre and post-surgery instructions and answer any questions that they may have.
• Triage post op patients as needed.
• Provide administrative support to the providers by prepping FMLA paperwork and hysterectomy forms.
• Keep accurate tracking of surgeries on the tracking spread sheet.

Job Qualifications (Experience, Knowledge, Skills and Abilities)

• LPN or an MA with OB GYN experience.
• Continual attention to detail in composing, typing and proofing materials.
• Establishing priorities and meeting deadlines.
• Independent judgment is required to plan, prioritize, and organize a diversified workload.

• Ability to work with supervision and make decisions based on established policies and procedures
• Skills to expertly deliver exceptional health care to the public