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About the Role
The Surgery Scheduler is responsible for scheduling and preauthorizing surgeries and specialized procedures, including follow-up appointments. This role involves reviewing pre-operative tests, medications, allergies, and medical history with patients, understanding insurance requirements, and managing pre-certifications. The scheduler must handle scheduling changes and cancellations promptly and accurately, demonstrating outstanding customer service and multitasking abilities.
Responsibilities
- Schedules office, surgery centers, and hospital-based medical procedures with the appropriate provider and time/location slot, using the correct scheduling code.
- Pre-authorizes surgeries through insurance companies and schedules procedures at the designated facility, accurately entering information into the scheduling system.
- Maintains a surgical log for statistical analysis.
- Provides patients with pre-surgical packets confirming the date and pre-operative instructions.
- Coordinates with surgical facilities for any special equipment or personnel needed for the surgery.
- Ensures all pre-operative labs are ordered, tracked for completion, and scanned correctly into the patient’s electronic medical record.
- Utilizes clinical knowledge to determine if an appointment is consistent with the provider's indicated diagnosis/indications.
- Audits the automated phone system daily to ensure call information is correctly changed and schedules are updated if necessary.
- Verifies and re-verifies scheduling for accuracy before schedules are published.
- Interfaces with appropriate surgery center and hospital staff to ensure a cohesive working relationship.
- Treats patients and referring physicians with courtesy and respect in person and on the phone.
- Maintains patient confidentiality.
- Performs other position-related duties as assigned.
- Adheres to high standards of ethical conduct and complies with all applicable laws and regulations, including the Solaris Health Code of Conduct, policies, HIPAA, and reporting procedures.
- Completes Annual Compliance Training.
Requirements
- Minimum of one year scheduling experience in a surgery center and/or medical office setting.
- Ability to build relationships with patients and display empathy and compassion.
- Ability to work independently and manage deadlines.
- Ability to work with other team members and patients in a courteous and cooperative manner.
- Complies with HIPAA regulations for patient confidentiality.
- Complies with all health and safety policies of the organization.
Skills
- Knowledge in healthcare systems operations such as EMR.
- Knowledge of database management.
- Knowledge of medical terminology, healthcare coding systems, and clinics functions.
- Knowledge of governmental regulations and compliance requirements.
- Knowledge of Medicare, Medicaid, managed care, and other third-party payer’s guidelines.
- Exceptional patient service throughout all interactions.
- Excellent verbal and written communication skills.
- Excellent organizational skills and attention to detail.
- Customer-oriented with ability to remain calm in difficult situations.
- Exceptional customer service skills.
- Proficiency in using computer programs and applications including Microsoft Office.
- Ability to remain calm in difficult situations.
Experience Level
- Minimum of one year scheduling experience
Education Level
- High School Diploma or equivalent