Surgery Scheduler 2

About the role

The University of Miami/UHealth Department of Orthopedics has an exciting opportunity for a full time Surgery Scheduler 2 to work in Miami, FL. The Surgery Scheduler 2 acts as liaison between patients, professional staff, and physicians by scheduling and coordinating all necessary functions for surgical and diagnostic procedures. Further, the Surgery Scheduler 2 acts as source of knowledge for scheduling staff and oversees their functions to ensure accurately and timely scheduling practices.

Responsibilities

• Obtains pre-authorizations for procedures as required by insurance companies.
• Oversees, produces, and distributes all surgical and procedural schedules to physicians and departments.
• Collaborates with patients, families, staff, and providers within the office and the greater community to schedule surgeries, pre-op physicals, and testing.
• Coordinates with hospitals and vendors for special cases or circumstances.
• Identifies ways to streamline surgical scheduling process and provides suggestions to managing staff.
• Ensures that electronic systems and scheduling tools are up-to-date and operating smoothly, and immediately contacts appropriate personnel to resolve any issues.
• Ensures documentation is complete to support accurate billing of surgical procedures.
• Adheres to University and unit-level policies and procedures and safeguards University assets.
• Receives surgery scheduling requests from physicians, secretaries, or patients via phone, fax, or in person.
• Collects all required patient and surgical information, including demographics, diagnosis, procedure, estimated surgery time, and length of surgery.
• Completes the Surgical Data Form and schedules cases in the operating room systems for applicable facilities.
• Contacts patients to confirm surgery date, time, and location, and provides pre-operative instructions.
• Coordinates required pre-operative testing, including laboratory orders, referrals, and insurance authorizations.
• Completes and submits laboratory order forms for non-contracted HMO plans and ensures patients receive appropriate instructions for lab completion.
• Sends required documentation, including physician orders and signed consent forms, to hospital pre-operative departments and maintains the OR log to verify receipt.
• Prepares and distributes weekly surgical schedules to physicians.
• Verifies insurance benefits, deductibles, out-of-pocket expenses, and patient financial responsibility prior to surgery.
• Coordinates with hospital financial services regarding patient payment responsibilities and approved payment arrangements.
• Schedules pre-operative and post-operative appointments and obtains all required referrals and insurance authorizations.
• Requests and secures prior authorizations from insurance carriers by submitting required clinical documentation.
• Updates and corrects patient demographic and insurance information as needed.
• Contacts patients before surgery to confirm appointment details and verify completion of required pre-operative testing.
• Submits surgical documentation to the billing department and maintains accurate departmental records.
• Coordinates with the International Health Center and hospitals to provide physician procedure codes and obtain estimated hospital charges.
• Requests, tracks, and retrieves physician clinic notes and dictated reports needed for insurance authorization submissions.
• Maintains accurate scheduling records and ensures compliance with departmental and hospital documentation requirements.
• Performs other duties as assigned by leadership.

Qualifications

• High School Diploma or equivalent/relevant experience, certification or license.
• Minimum 3 years of relevant experience required.

Skills

• Learning Agility: Ability to learn new procedures, technologies, and protocols, and adapt to changing priorities and work demands.
• Teamwork: Ability to work collaboratively with others and contribute to a team environment.
• Technical Proficiency: Skilled in using office software, technology, and relevant computer applications.
• Communication: Strong and clear written and verbal communication skills for interacting with colleagues and stakeholders.