Receives incoming requests (via telephone, fax, internet, or internal call list) to schedule patient exams. 

Accurately schedules patient exams to comply with restrictions of modality/facility resources (time, technologists, physician, etc.) And the needs of the patient and referring physician. 

Works efficiently with department personnel to expedite patient flow by processing orders in a timely manner. Communicates effectively when emergency or “add-on” exams occur. 

Inputs and/or verifies information in radiology information system (RIS) to ensure accuracy and/or receipt of the patient, referring physician, insurance, and exam data. 

Advises referring physician’s office and/or patient of any pre-exam requirements. Ensures that a high level of customer service and telephone etiquette is maintained when interacting with referring physicians’ offices and/or patients. 

Receives incoming requests (via telephone, fax, internet, or internal call list) to schedule patient exams. 
Ensure patient’s referral matches the scheduled exam. 

Verify patient’s eligibility with the insurance company, either by telephone or via the internet. 

Determine the patient’s out-of-pocket expense, taking into account any co-insurance and/or deductibles; input this data into the radiology information system (RIS). 

 Review prior authorization requirements. If no prior authorization is needed, refer to the Scheduler Department to finalize exam. If prior authorization is needed, refer to the Prior Authorization Department to obtain. 

Contacts patient to advise of any insurance-related issues that prevent the patient from receiving services. 

Accurately documents all information and communications, verbal and written, with the patient, provider or insurance company, into the radiology information system (RIS) 

Knowledge of scheduling procedures, paperwork processing requirements, and various insurance coverages 

Knowledge of authorization and eligibility practices, medical terminology and paperwork processing requirements. Familiarity with CPT and ICD-9 coding. 

Knowledge of medical terminology 

Knowledge of scheduling and eligibility software 

Knowledge of and experience in using office equipment including telephone, fax, computer and photocopier 

Knowledge of and experience in using radiology-related computer systems (RIS) 

Knowledge of customer service concepts and techniques 

Ability to pay close attention to detail for extended periods of time. 

Ability to apply good judgment and problem solving skills. 

Ability to communicate clearly in person and on the telephone. 

Ability to use interpersonal skills to effectively interact with physicians, other facility staff, patients and families when providing instructions or responding to questions or exchanging patient-related information 

Ability to organize and prioritize tasks effectively 

Ability to read, understand and follow oral and written instructions. 

Ability to file correctly by alphabetic or numeric system 

Ability to maintain confidentiality of patient record information 

1 -3 years’ experience in Scheduling and Eligibility 

Strong customer service skills and the ability to keyboard proficiently 

Knowledge of medical terminology