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.

Equipment Operated:
 

Telephone & Fax

Computer & Printer

Blood Glucose Monitor

Blood Pressure Machines

Waived function testing

Pulse oximeter

EKG

Centrifuge

NST machine

Oxygen

Audiometer

Audio Visual

HBA1C analyzer

Ultrasound

Other office and medical equipment as assigned

Facility Environment:

Heart of Ohio Family Health operates in multiple locations, in Columbus, OH. All facilities have a medical office environment with front-desk reception area, separate patient examination rooms, nursing stations, pharmacy stock room, business offices, hallways and private toilet facilities. All facilities are ADA compliant.

This position’s primary work area is the clinical portion of the facility; ie, patient examination rooms, hallways, and other clinically assigned areas.

The clinical area is:

• kept at a normal working temperature