Scheduler - Full Time - Gastro

Valley Health•Winchester, VA

About The Position

The Surgical Scheduler is responsible for surgical scheduling for department providers, oversight and coordination of block time, and working with operating room (OR) schedulers to optimize provider OR time and schedules. The Surgical Scheduler reports to the Manager, Physician Practice.

Requirements

High School Diploma or GED required
Minimum two years of work experience or Associate degree accepted in lieu of work experience, required
Demonstrates a high-level understanding and application of insurance payors and interpretation of medical benefits.
Extensive medical terminology, ICD-10 and CPT coding highly preferred.
Excellent communication and interpersonal skills required, including ability to speak with patients, providers, payors and internal customers while inputting information online.
Must be able to successfully apply medical necessity criteria and authorization criteria to individual situations.
Demonstrates a high-level understanding of discount programs and payment options.
Must be able to communicate denials and peer to peer requests to physician office teams, as well as requests for additional clinical information and orders.
Ability to work with minimal supervision on individual and team projects.

Nice To Haves

Associates preferred
Health or human services experience preferred
Experience in a community health or similar role preferred
Extensive medical terminology, ICD-10 and CPT coding highly preferred.

Responsibilities

Responsible for scheduling surgical cases according to scheduling guidelines and current block schedule using faxes, emails, telephone and other incoming communication mechanisms as appropriate.
Responsible for obtaining insurance authorizations, including providing pre-registration, verifying insurance and ensuring preauthorization requirements have been met from all potential payor sources.
Performs outgoing calls to patients and physician offices regarding reschedules and cancelations.
Cross-references patient and department information for multiple procedures to improve patient flow and minimize risk of clinical contradictions.
Maintains up-to-date knowledge of procedures, policies, insurance requirements, and registration and patient access function and tools by actively participating in in-services and training sessions.
Required to accurately document information into Epic as appropriate.

Benefits

At Valley Health, we believe everyone is a caregiver, and our goal is to create an environment where our caregivers thrive physically, financially, and emotionally.
In addition to a competitive salary, our most popular benefits for full-time employees include: A Zero-Deductible Health Plan Dental and vision insurance Generous Paid Time Off Tuition Assistance Retirement Savings Match A Robust Employee Assistance Program to help with many aspects of emotional wellbeing Membership to Healthy U: An Incentive-Based Wellness Program
Valley Health also offers a health savings account & flexible spending account for childcare, life insurance, short-term and long-term disability, and professional development.
In addition, several perks come with working for the largest employer in the region, such as discounts to on-campus dining, and more.
To see the full scale of what we offer, visit valleyhealthbenefits.com.
Our Growth is Creating Great Opportunities!
Our team is expanding, and we want to hire the most talented people we can.
Continued success depends on it!
Once you've had a chance to explore our current open positions, apply to the ones you feel suit you best and keep track of both your progress in the selection process, and new postings that might interest you!
Thanks for your interest in working on our team!