Surgical Scheduler
Company: Ortho Rhode Island
Location: Warwick
Posted on: May 4, 2022
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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: 1. Welcomes patients by greeting them, in person or on
the telephone; answering or referring inquires 2. Scheduling of all
surgical cases for all physicians at the appropriate facility 3.
Ensure that correct surgical equipment is ordered 4. Coordinates
scheduling of all pre-admission testing, lab work, and diagnostic
imaging as applicable 5. Obtain medical clearance from PCP and
specialists as indicated 6. Confirm that faxed cases are scheduled
with the correct facility 7. Maintains and updates surgical
schedule on a daily basis 8. Communicates all changes to the
appropriate departments and staff 9. Confirm accurate completion of
H&P and consent for each patient 10. Confirm and order cases
the day prior to surgical day 11. Prints and distributes daily
schedule to physicians, including any necessary patient paperwork
12. Remain accountable and follow through on all commitments made
to patients 13. Assist physicians with billing submission 14.
Communicate effectively with patients, clinical staff and
physicians Surgical Authorizations: 1. Responsible for reviewing
for accuracy of information requested and received regarding
precertification and/or prior authorization numbers received, as
well as supporting documents. 2. 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. 3. Responsible for
monitoring and tracking of authorization requests and expiring
authorizations. 4. Obtain prior authorizations as needed for
preoperative imaging studies 5. Utilize eligibility/registration
software 6. Sending clinical documentation as needed to insurance
companies 7. Responsible for the use of and, documentation in, EHR
software system as the official medical record, following
appropriate guidelines for documenting. 8. Update facility of
patient authorization status and confirm receipt of authorization
9. Set up peer-to-peer as needed 10. Send appeals as needed 11.
Communicate effectively with clinical staff and facilities on
authorization statuses Surgical Benefits Coordinator: 1. Provides
patients with overview of medical benefits as per their policy, out
of pocket costs, potential financial responsibilities, and explains
options regarding prompt payment policy 2. Provides patient with
out of pocket costs and financial responsibilities regarding
surgical deductibles/co-insurance and collects surgical
deductible/co-insurance. 3. Determines estimated patient financial
responsibility using insurance verification information 4. Verifies
that all required referrals have obtained prior to any service. 5.
Accurately documents all information related to patient's
demographics, coinsurance, copay, deductibles, and authorization
requirements 6. Knowledge of eligibility/registration software:
utilize for one time payments and deposit scheduling. 7. Remain
accountable and follow through on all commitments made to patients
8. Communicates effectively with staff and patients Additional
Responsibilities: 1. Compliance with HIPAA and OSHA regulations 2.
Responsible for contributing to department development 3. Other
duties may be assigned as necessary Performance Requirements:
Knowledge: 1. Excellent computer skills 2. EMR Systems 3. Practice
Management System 4. Microsoft Suite (including: Outlook, Word,
Excel, Calendar) 5. Phone Software 6. Health IPASS 7. Navigating
Insurance Authorization websites 8. Clinical knowledge 9.
Effectively communicate tasks or projects to team members 10.
Ability to collaborate with supervisory teams and administrators on
projects or assigned tasks Skills: 1. General understanding of
orthopedic terminology 2. Familiarity and follow through with all
HIPAA compliance 3. Attention to detail 4. Self-motivated, showing
initiative to tackle important issues, problems and tasks
Abilities: 1. Embracing ORI's mission and vision through friendly
and patient-oriented service 2. Demonstrate excellent teamwork,
organizational, and communication skills 3. Adheres to processes,
while looking for opportunities for innovation and improvement 4.
Critical thinking skills and deliberate in decision making 5. Able
to work at a fast pace, while demonstrating patience with patients
6. Prioritize orders based on medical necessity 7. Adheres to
processes, while looking for opportunities for innovation and
improvement 8. Assertive Position Type and Expected Hours of Work:
This is a full-time, Monday through Friday position. Shifts will be
assigned in advance but may vary depend on a Company Schedule. The
hours will typically range from 7:30 am to 5:00 pm. Required
Education and Experience 1. High School Graduate or equivalent 2. 2
- 3 experience in a medical office or practice 3. Any combination
of education, training, and experience that demonstrates the
ability to perform the duties of the position. 4. Experience with
Electronic Medical Records 5. We invite you to submit your resume
for consideration OrthoRI provides a competitive salary and
comprehensive benefit programs including: medical, dental, vision,
paid sick and vacation, 9 paid holidays, supplemental benefits and
group long term disability and life insurance OrthoRI offers the
opportunity to work with a collaborative team focused on the
highest level of patient care and teamwork. Learn more about
OrthoRI at www.orthopedicsri.com. Or follow us on Facebook at:
https://www.facebook.com/OrthoRhodeIsland/ Job Type: Full-time
Keywords: Ortho Rhode Island, Warwick , Surgical Scheduler, Healthcare , Warwick, Rhode Island
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