Job Summary
Surgery scheduling specialists act as a liaison between patient and physician, schedules all surgeries and pre-operative tests, and counsel's patients prior to surgery regarding financial responsibility.
Duties and Responsibilities:
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Receives instructions from physicians about which surgery or test is recommended. Schedules procedures at appropriate facility and appropriate pre-op testing.
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Obtains precertification/preauthorization from insurance companies prior to surgery for each procedure and test.
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Verifies patient eligibility and coverage for the procedure; if patient is not eligible on date of service, or procedure is not a covered benefit, explains this to patients.
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Counsels patients pre-operatively regarding their potential financial obligation, and provides information about patient insurance coverage.
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Discusses pre-operative testing and instructions with the patient, as directed by physicians.
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Schedules operating room time, according to physical scheduling protocols. Schedules all appropriate pre-operative tests.
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Coordinates all business and clinical paperwork prior to surgery, using physician-approved forms and checklists.
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Responds to written and telephone inquiries from patient and carriers regarding planned surgeries. Maintains communication among the physician, patient, insurance company, and hospital at all times.
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Perform any other duties assigned.
Requirements and Qualifications
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Associates degree preferred; HS diploma or GED required.
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4+ years medical office experience; orthopedic setting preferred.
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2+ years prior surgical scheduling experience preferred.
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EMR experience required; MEDENT preferred.
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Position requires manual and finger dexterity and hand-eye coordination.
Physical Demands
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Position requires manual and finger dexterity and hand-eye coordination.
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Involves standing, sitting, and walking.
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Team member will occasionally be asked to lift and carry items weighing up to 10 pounds; normal visual acuity and hearing are required.
