Surgery Scheduler

Methodist Health System•Dallas, TX

About The Position

The Surgery Scheduler serves as the patient point of contact and maintains open communication to keep patients engaged and support an efficient flow through the surgical pathway. The role coordinates the process from registration, insurance verification, initial contact, and surgeon consultation through completion of insurance and program criteria, medical clearances, and submission to the insurance provider for surgery approval. The Surgery Scheduler supports and promotes the vision, mission, and strategic plans of Methodist Health System.

Requirements

High school diploma and/or GED equivalent.
Very strong proficiency using Microsoft Office products.
Superior oral and written communication skills.
Strong process orientation.
Demonstrated ability to interface and maintain effective relationships with all departments and employees in a team-oriented environment.

Responsibilities

Communicate clearly and openly, and communicate with patients and coworkers in a professional, enthusiastic, friendly, and positive manner.
Build relationships that promote a collaborative environment and maintain effective working relationships across departments.
Be accountable for performance, take initiative for professional growth, and contribute to building a strong team.
Look for ways to improve the patient experience.
Review patient registration to ensure it is complete.
Verify insurance and record the information in the Practice Management System/EMR.
Maintain current surgery criteria from insurance providers and inform staff of changes or updates.
Initiate patients into the surgery pipeline, advocate for them, and schedule their initial surgeon consultation.
Communicate insurance benefits, deductibles, coinsurance, financial responsibilities, and any additional medical testing or screening to patients.
Secure pre-determinations and pre-certifications for procedures, including general surgery.
Handle physician referrals, ensuring the referring doctor's information is in the Practice Management System/EMR.
Acknowledge referrals and notify the referring party that the patient has been verified, assigned, contacted, and initiated into the surgery process.
Prepare and submit Letters of Medical Necessity and ensure insurance criteria and medical clearances are complete.
After insurance approval, communicate approval to the patient, collect fees due, schedule the pre-op consultation, advise the patient of the surgery date, and schedule the one-week post-op appointment.
Handle appeals and denials in conjunction with patient care.
Participate with practice staff in patient education seminars or meet-the-doctor events, educating interested parties about the surgery program.
Prepare physical space for seminars and events.
Assist other staff members and perform duties needed by the practice to support high-quality patient care.