Job Description
Job Description
Under general supervision, schedules all division surgeries and incidental testing and authorizes all surgical cases for the department. Ensures that all primary care referrals are handled according to practice and payer guidelines. Ensures that referral and pre-authorization activities are undertaken in order to provide maximum patient and provider satisfaction and maximum reimbursement; and other duties as assigned.
ESSENTIAL FUNCTIONS
- Schedules surgical cases daily following specified clinical and time allocation guidelines via automated scheduling systems through telephone contact with physicians’ offices, fax, website retrieval, or personally with the physician and / or resident; uses manual systems in the event of automated system downtime.
- Interprets clinical requirements to effectively manipulate the schedule continually to achieve optimum placement of cases, customer satisfaction, and accurate patient charging.
- Collaborates daily with the appropriate Nursing personnel and respective staff to coordinate surgical schedule to provide optimum use of the operating rooms and facilities.
- Proactively communicates with the appropriate staff regarding special requests for personnel, equipment and facilities; scheduling conflicts arising from resource requests are resolved with management staff to ensure resource availability and optimum use of the facilities after finalizing schedules.
- Ensures that patient demographic and clinical data on newly scheduled cases or changes to existing scheduled cases is communicated to Patient Registration.
EDUCATION and / or EXPERIENCE
High school diploma or (GED) general education degree3-5 years of experience with posting and / or authorizingAccurate data entry skillsCurrent knowledge of payer requirements for referrals and preauthorizationKnowledge of IDX or similar computerized billing systemKnowledge of ICD-10 and CPT codingGeneral understanding of back-office operationsStrong customer service skillsPC proficiencyMedical terminology preferredTotal Rewards
The referenced base salary range represents the low and high end of University of Maryland’s Faculty Physician’s Inc. salary range for this position. Some candidates will not be eligible for the upper end of the salary range. Exact salary will ultimately depend on multiple factors, which may include the successful candidate's geographic location, skills, work experience, market conditions, internal equity, responsibility factor and span of control, education / training and other qualifications. University of Maryland Faculty Physician’s Inc. offers a total rewards package that supports our employees' health, life, career and retirement. More information can be found here : https : / / www.umfpi.org / jobs / summary -employee-benefits