Surgical Scheduler The Surgical Scheduler is responsible for all functions related to surgical scheduling, pre-certification and verification of insurance benefits. This position is also responsible for the coordination of referrals for patient appointments and surgical procedures as required. Surgery Scheduling Coordinate the scheduling of surgical procedures for assigned surgeons in the practice, as well as a working knowledge for scheduling surgery for all surgeons Upon initiation of surgical request by the physician, discuss, determine and coordinate surgical date with patient/family in accordance with physician's schedule Provide patients with the following information, as required: Cardiac and Medical clearance Scheduling appropriate pre-operative and post-operative appointments including pre-admission testing Pre-surgical history and physical and post-op visits Schedule surgical procedure with hospital or surgical center providing: Diagnosis, surgical procedure, type of anesthesia, type of admission and instrumentation required, and ICD-10 and CPT codes, as required Completing all necessary forms related to surgery scheduling Assisting patients with scheduling follow-up appointments if pre-op labs or EKGs are not within normal limits Contacting equipment representatives or arranging for surgical equipment as needed Notify instrumentation representatives of special requests Notify the surgical assistant of add-ons and cancellations Prepare weekly OR schedule in absence of Surgical Scheduler Assistant, updates add-ons or cancellations Maintaining and updating the physician's surgical calendar Surgical Pre-certification/Verification of Benefits Initiate request for HMO/POS Insurance Plan referrals Working knowledge of obtaining pre-cert and benefit verification for Commercial/PPO Insurance Plans For Workers' Compensation Plans: Contact insurance carrier claim adjustor and secure authorization for surgery. Fax clinical notes and/or test results to claim adjustor Self-Pay Arrangements Advise patient/family regarding self-pay arrangement requirements Notify appropriate Business Office staff regarding all self-pay patients' scheduled surgery Verify with Business Office staff to ensure that payment arrangements have been made Maintain a clean and safe work environment Other duties as assigned Requirements Requirements Education High School diploma or general education degree (GED) required or at least one year medical office experience, preferably with electronic medical records Associates degree preferred Certifications/Licensure Not applicable Experience One year medical office experience Technical Skills Knowledge in medical terminology Comfortable using email and interacting with Internet applications Knowledge of practice management and EHR system Soft Skills Ability to handle highly confidential, sensitive and non-routine information Ability to perform multiple and diverse tasks simultaneously Strong written and verbal communication skills Physical Requirements Stand or sit for extended periods of time This description is intended to provide only basic guidelines for meeting job requirements. Duties and responsibilities, experience, qualifications, skills, supervisory relationship, physical/mental demands, and environmental/working conditions may change as needs evolve.
Surgical Scheduler • Park Ridge, IL, United States
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