Summary

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. 

Responsibilities 

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 patient 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.

Qualifications/Education and/or Experience 

• High School diploma or general education degree (GED) required; or at least one year medical office experience, preferably with electronic medical records (EMR); Associates degree preferred. 
• Knowledge in medical terminology
• Ability to handle highly confidential, sensitive and non-routine information
• Comfortable using email and interacting with Internet applications
• Knowledge of practice management and EHR system
• Ability to perform multiple and diverse tasks simultaneously
• Strong written and verbal communication skills

Base salary offers for this position may vary based on factors such as location, skills and relevant experience. We offer the following benefits to those who are benefit eligible (30+ hours a week):  medical, dental, vision, life and AD&D insurance, long and short term disability, 401k program with company match and profit sharing, wellness program, health savings accounts, flexible savings accounts, ID protection plan and accident, critical illness and hospital benefits. In addition, we offer paid holidays and paid time off.