Surgical Services Scheduler - Urology

About the role

Responsible for scheduling hospital-based procedures/surgeries in accordance with physician’s orders and insurance requirements, ensuring all necessary paperwork and required tests needed prior to surgery are accurately completed, and clearly communicating pre- and post-surgery instructions to patients.

Maintains and manages resources, including insurance portal access, and provides consistent documentation in EPIC to support the obtained insurance authorization.

Communicates changes in payer and/or federal regulatory guidelines to their manager, pharmacy staff, providers and other clinical departments, as applicable.

Communicates with patient to provide pre- and post-surgery instructions, and obtains completed consent forms and required tests or preparations needed prior to surgery.

Prepares and distributes surgery packets to patients.

Keeps physician and clinical staff informed regarding pre-op testing and maintains updated documentation and charts available for physician review.

Coordinates with hospital staff for scheduling according to assigned block time and collaborates with hospital teams for inpatient case coordination and add-ons.

Surensures necessary H&P, surgical clearance, blood work and other patient tests are completed.

Scans all necessary clinical documents.

Contacts insurance company to obtain pre-certification of surgeries based on booking sheet and documents in chart.

Responsible for maintaining and obtaining all surgical authorizations.

Updates surgical authorizations with changes related to booked cases.

Responsibilities

• Ensures reconciliation of all dropped charges to ensure they match authorized procedures and escalates to appropriate parties, if necessary.
• Maintains and manages resources, including insurance portal access, and provides consistent documentation in EPIC to support the obtained insurance authorization.
• Communicates changes in payer and/or federal regulatory guidelines to their manager, pharmacy staff, providers and other clinical departments, as applicable.
• Communicates with patient to provide pre- and post-surgery instructions, and obtains completed consent forms and required tests or preparations needed prior to surgery.
• Prepares and distributes surgery packets to patients.
• Keeps physician and clinical staff informed regarding pre-op testing and maintains updated documentation and charts available for physician review.
• Coordinates with hospital staff for scheduling according to assigned block time and collaborates with hospital teams for inpatient case coordination and add-ons.
• Surensures necessary H&P, surgical clearance, blood work and other patient tests are completed.
• Scans all necessary clinical documents.
• Contacts insurance company to obtain pre-certification of surgeries based on booking sheet and documents in chart.
• Responsible for maintaining and obtaining all surgical authorizations.
• Updates surgical authorizations with changes related to booked cases.

Requirements

• Three years of experience in a healthcare setting required.
• Knowledge of medical and insurance terminology, CPT and ICD-10 coding.
• Computer skills; experience with practice management software preferred.
• Exceptional organization skills and attention to detail.
• Ability to communicate in other languages is highly desirable.

Qualifications

• Three years of experience in a healthcare setting required.
• Knowledge of medical and insurance terminology, CPT and ICD-10 coding.
• Computer skills; experience with practice management software preferred.
• Exceptional organization skills and attention to detail.
• Ability to communicate in other languages is highly desirable.

Skills

• Knowledge of medical and insurance terminology, CPT and ICD-10 coding.
• Computer skills; experience with practice management software preferred.
• Exceptional organization skills and attention to detail.
• Ability to communicate in other languages is highly desirable.

Benefits

• Clinical specialty opportunities
• Tuition reimbursement up to $5,250.00 after six months of employment and up to 40% tuition discounts with partnering institutions for colleague AND dependents
• Medical, dental and vision coverage options
• Generous PTO to promote work/life balance
• Employee assistance and wellness programs including a strong focus on promoting mental health
• Collaborative and supportive environment with state of the art equipment
• Discounts on services, products and optional coverages – movie tickets, pet insurance, travel and more!

Pay

Compensation is commensurate with experience.

Schedule

Flexible Scheduling