Senior Surgery Scheduler, Amb Clinic-Digestive Diseases

UT Southwestern Medical Center • Dallas, TX

10d

About The Position

Works under general supervision to provide advanced surgical scheduling of patients for department or clinic at all applicable UTSW procedural locations and affiliated procedural locations.

Requirements

• High School Diploma or equivalent
• 5 years experience in a medical office environment
• Exposure and working knowledge of physician billing, medical collections, coding, surgery scheduling and/or patient access

Nice To Haves

• 2 years of college
• 2 years of healthcare scheduling and/or surgery scheduling

Responsibilities

• Independently schedules complex patient surgical procedures at various entities and coordinates across multiple providers and locations (Hospitals, Ambulatory Surgery Centers and other UTSW affiliated clinical locations) in accordance with established protocols; acquires the appropriate information and orders from the surgeon.
• Provides pre-certification of all complex, advanced or high acuity procedures to ensure coverage and proper billing procedures; and/or may obtain insurance pre-certification from the referring physician's office and contacts insurance carriers for confirmation; advises clinic and/or patient on co-payment or co-insurance responsibility.
• Oversees and troubleshoots complex authorization issues; ensures all high-level cases are fully approved.
• May be responsible for accurately entering scheduling, insurance and registration information into the appropriate system(s).
• Maintains and monitors surgical block time to keep utilization at a high standard; advises surgeon of unused time and releases the unused time to prevent loss of department's surgical block time. Leads interdisciplinary coordination and resolve schedule conflicts.
• Manages complex patient communications and resolve escalated concerns.
• Leads continuous process improvement efforts. Implements new scheduling strategies.
• Assists in onboarding peers. Communicating effectively with peers and leadership. Serves as a point of escalation for scheduling-related matters.
• May mentor junior schedulers.
• Requests and secures tissue from Tissue Bank/Transplant Services working with Faculty and OR to ensure delivery of the requested tissue at the time of surgery to avoid delay or cancellation of surgery.
• Requests and/or obtains the ordered materials and/or equipment needed for surgery and confirms with the surgeon before surgery in order to avoid delay or cancellation of surgery.
• May research claims on payment denials from third party carriers for pre-certified procedures.
• Acts as liaison with other departmental staff when needed for the coordination of multiple and/or special procedures.
• Adheres to patient privacy act HIPAA, and confidentiality policy at all times.
• Duties performed may include one or more of the following core functions: (a) Directly interacting with or caring for patients; (b) Directly interacting with or caring for human-subjects research participants; (c) Regularly maintaining, modifying, releasing or similarly affecting patient records (including patient financial records); or (d) Regularly maintaining, modifying, releasing or similarly affecting human-subjects research records.
• Performs other duties as assigned.

Benefits

• PPO medical plan, available day one at no cost for full-time employee-only coverage
• 100%25 coverage for preventive healthcare-no copay
• Paid Time Off, available day one
• Retirement Programs through the Teacher Retirement System of Texas (TRS)
• Paid Parental Leave Benefit
• Wellness programs
• Tuition Reimbursement
• Public Service Loan Forgiveness (PSLF) Qualified Employer

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees