Scheduling and Billing Specialist

Scheduling & Billing Specialist 

 St Mary's Hospital Richmond, VA

Primary Function/General Purpose of Position  

The Scheduler is responsible to coordinate and schedule patient testing and procedures, including interacting with physician offices, other health care providers and staff in departments that provide services to ensure patients are scheduled as soon as possible. This role will enter patient data into the computer system and complete general office work for the department as needed. May serve as receptionist for patients.  

Essential Job Functions  

• Prepares, posts, and distributes daily schedules. Reviews and updates schedule daily. Communicates any changes affecting the next day’s schedule to appropriate personnel.  

• Maintains and secures replacement staff for staffing levels that meet required guidelines and communicates staffing needs to off shift supervisor and Director.  Reports all issues to leadership.  

• Reviews and corrects weekly attendance sheets to ensure accurate payroll. May approve/ disapprove PTO and vacation requests according to established nursing guidelines and labor contracts. Tracks and completes attendance actions for supervisor review. Maintains agency information including orientation checklists, reports of usage, and completion verification. 

• Verifies patient information from physician’s offices, as well as equipment needs, special requests, and positioning. Communicates special equipment, instruments, and supply requests to appropriate staff. Verifies all patient names, procedures, surgeons, and times with Registration/Admitting.  

• Ensures correct orders, diagnosis, and clinical history is collected and entered into computer system.  

• Provides physician office staff and/or patient with hospital approved instructions regarding test preparation. Answers questions pertaining to testing, scheduling, and testing preparation. Refers patient to specialty area staff instructions, which are outside of the ordinary.  

• Maintains patient records from the previous day, ensuring all records are accounted for. Maintains surgical logbook as needed. Compiles daily census statistics and distributes reports.  

• Obtain necessary insurance pre-authorization and pre-certifications. Responsible for prior authorization and registration functions. 

• Ensures accurate patient identification by consistently verifying two patient identifiers in accordance with hospital policy and patient safety standards. 

This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.