Surgical Scheduler

Job Description

Job Description

The objective of the Surgical Scheduler role is to help support the surgical scheduling department by creating an effortless patient experience by providing a team-based approach to patient care and an exceptional patient experience.

Surgical Scheduler will emphasize highly personalized care and help patients surpass barriers to healthcare by improving the patient / provider relationship.

Duties and Responsibilities include but are not limited to :

Surgical Scheduling

• Welcomes patients by greeting them, in person or on the telephone; answering or referring inquires
• Scheduling of all surgical cases for all physicians at the appropriate facility
• Ensure that correct surgical equipment is ordered
• Coordinates scheduling of all pre-admission testing, lab work, and diagnostic imaging as applicable
• Obtain medical clearance from PCP and specialists as indicated
• Confirm that cases are scheduled with the correct facility
• Maintains and updates surgical schedule on a daily basis
• Communicates all changes to the appropriate departments and staff
• Confirm accurate completion of H&P and consent for each patient
• Confirm and order cases the day prior to surgical day
• Prints and distributes daily schedule to physicians, including any necessary patient paperwork
• Remain accountable and follow through on all commitments made to patients
• Assist physicians with billing submission
• Communicate effectively with patients, clinical staff and physicians

Surgical Authorizations :

• Responsible for reviewing for accuracy of information requested and received regarding precertification and / or prior authorization numbers received, as well as supporting documents.
• Responsible for uploading into EHR software system, authorization numbers, time spans / number of procedures, etc. and supporting documentation upon verification that procedures are authorized as requested.
• Responsible for monitoring and tracking of authorization requests and expiring authorizations.
• Obtain prior authorizations as needed for preoperative imaging studies
• Utilize eligibility / registration software
• Sending clinical documentation as needed to insurance companies
• Responsible for the use of and, documentation in, EHR software system as the official medical record, following appropriate guidelines for documenting.
• Update facility of patient authorization status and confirm receipt of authorization
• Set up peer-to-peer as needed
• Send appeals as needed
• Communicate effectively with clinical staff and facilities on authorization statuses

Additional Responsibilities :

• Compliance with HIPAA and OSHA regulations
• Responsible for contributing to department development
• Other duties may be assigned as necessary

Required Education and Experience

• High School Graduate or equivalent
• 2 - 3 experience in a medical office or practice
• Any combination of education, training, and experience that demonstrates the ability to perform the duties of the position.
• Experience with Electronic Medical Records

Physical Demands :

• Requires mobility, frequent walking, standing, and sitting, some bending, stooping and stretching and periodic lifting of up to 50 lbs.
• While performing the duties of this job, the employee is regularly required to converse and hear.
• Requires normal (corrected) vision.
• Requires coordination and manual dexterity sufficient to operate office equipment.

Work Environment :

This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets.

Position Type and Expected Hours of Work :

This is a full-time position. Days and hours of work are typically Monday through Friday, 8 : 30 a.m. to 5 p.m., but may vary depend on Company Schedule.