Surgery Scheduler - Gastro

Trinity Health•Grand Rapids, MI

1d•Onsite

About The Position

The Surgery Scheduler (Gastro) is an onsite position responsible for obtaining demographic, financial, and insurance information when scheduling patient tests and procedures. The role gathers limited clinical information, including diagnoses and procedures, to create appointments; provides test-preparation instructions; and prints and mails patient itineraries when there is sufficient lead time. The Scheduling Representative validates medical necessity for Medicare and non-Medicare cases involving non-complex outpatient diagnostic testing to support financial clearance. The role also ensures billing compliance by obtaining and processing signed physician orders to support clinical documentation for care delivery. It authenticates patient identity and follows applicable scheduling, clinical-unit, payer, and physician-order processes. The employer describes its commitment to dignity, inclusion, and compassionate, person-centered care and is an Equal Opportunity Employer.

Requirements

High school diploma required.
Working knowledge of medical terminology.
Data-entry skills of 50–60 keystrokes per minute.
At least one year of work experience in a physician office, hospital, or clinic environment performing patient scheduling.

Nice To Haves

Associate’s degree or an equivalent combination of education and experience.
Surgery-scheduling experience is highly desired.

Responsibilities

Authenticate patient identity throughout all essential functions to help ensure patient safety.
Schedule patients for tests and procedures, documenting demographic and insurance information to identify the correct patient and make appointments.
Initiate the physician order verification process.
Initiate medical-necessity screening for non-complex diagnostic services according to Medicare and other payer guidelines, using LMRP/LCD/NCD documentation.
Disseminate patient information and support coverage of other intra-departmental functions.
Contact physicians or office staff to clarify diagnoses and/or tests or procedures when needed.
Determine scheduling requirements and limitations for non-complex outpatient diagnostic testing.
Use the correct equipment, room resources, and staffing allocation according to clinical unit protocols and instructions.
Provide patients with test-preparation instructions and print and mail itineraries when lead time allows.
Obtain and process signed physician orders to support billing compliance and clinical documentation.