• Scheduling Coordinator, I

    Location US-CA-Los Angeles
    Job ID
    2018-6729
    Category
    Customer Service
  • Overview

    This position is responsible for scheduling and coordinating off-site specialist appointments for urgent/senior expedite, routine and follow-up appointments in accordance with the approved authorizations, scheduling and wait time objectives. Responsible for providing clear communication regarding future and past appointments to the PCP and IDT team.

     

    Responsibilities

    1. Review approved authorization requests for accuracy. Communicate and coordinate with the Corporate Utilization Management department to modify authorizations, extend expiration dates, and modify CPT codes as needed.
    2. Schedule all approved authorizations to assure corresponding appointments are scheduled within the P&P guidelines.
    3. Work in collaboration with IDT members, Primary Care Providers and nursing to ensure clear communication and coordination of care regarding all in-house and outside appointment. Focusing on participant communication, adherence and proper preparation for all appointments
    4. Prepare appointment cards and documents. Print and fax approved authorizations to respective specialty medical offices as needed.
    5. Access required information systems to schedule and completed authorizations and to support the reporting requirements.
    6. Collaborate with Transportation Coordinator or designee to schedule participant transportation for offsite medical specialty appointments.
    7. Collaborate with Medical Escort supervisor for escort coverage for offsite medical specialty appointments.
    8. Conduct daily and weekly confirmations of specialty medical appointments with the respective medical offices and rescheduling them as required.
    9. Work in collaboration with Health Information Representative to obtain PACE participant medical records as needed for upcoming offsite specialty medical appointments.
    10. Prepare and organize all specialty appointments requiring medical notes, labs, radiology ‘CDs’, reports, etc. per protocol. Maintaining ongoing communication with Primary Care Provider and Specialist document requirements for all appointments.
    11. Coordinate procedure guidelines with appropriate personnel prior to the specialty medical appointment for accurate patient care (i.e. medication regimens, fasting, surgical procedures, etc.). Provide information on scheduled contracted provider appointments to patients and IDT staff.
    12. Coordinate with center staff to assure all patients are promptly and regularly reminded of upcoming medical specialty appointments.
    13. Complete confirmation calls with Specialty office following scheduling confirmation call guidelines.
    14. Perform all other related duties as assigned.

     

    Qualifications

    1. High School graduate or GED equivalent required.
    2. A minimum of one year experience working in medical or clinical field required; two years preferred.
    3. CPR/First Aid certificate required.

     

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