Surgery Scheduler

UT Health San Antonio•San Antonio, TX

About The Position

Under general supervision, responsible for scheduling operating time of information systems operations in order to ensure that the information systems equipment is effectively utilized.

Requirements

Minimum of three (3) years of surgery scheduling experience
Highschool OR GED
Experience supporting providers with high clinic volumes and large surgical caseloads.
Extensive knowledge of insurance referral and authorization requirements for outpatient and inpatient surgeries.
Knowledge of CPT, ICD-10, and HCPCS coding.
Experience with electronic medical records (preferably Epic).
Ability to manage a fast-paced workload supporting multiple surgeons with significant surgical volume.
Strong understanding of orthopedic procedures, implants, grafts, and biologic products.
Knowledge of insurance coverage requirements for grafts, skin substitutes, and specialty products used in clinic and surgery.
Ability to navigate multiple insurance websites and portals to submit and track authorization requests.
Strong organizational skills with the ability to prioritize urgent cases and meet payer deadlines.
Excellent communication skills for coordinating with patients, providers, surgery centers, hospitals, and insurance representatives.
Proficiency in Microsoft Office (Excel, Word, Outlook).
High attention to detail and accuracy.
Excellent verbal and written communication skills
Strong computer skills including Microsoft Word, Excel, PowerPoint and Outlook.
Some medical experience.
Previous surgery scheduling experience.
Previous electronic medical record (EMR) experience.
Knowledge of ICD-10 and CPT coding.

Nice To Haves

Bilingual (Spanish and English) preferred.

Responsibilities

Schedule orthopedic surgical procedures, injections, and related treatments for multiple high-volume providers.
Obtain and track referrals and prior authorizations for surgeries, grafts, biologic products.
Verify insurance benefits and determine medical necessity requirements.
Submit clinical documentation through insurance portals and follow up on pending requests.
Coordinate pre-operative testing, medical clearances, and surgical facility requirements.
Coordinate biologic grafts, skin substitutes, and specialty implants used in clinic and the operating room.
Educate patients regarding surgical dates, financial responsibilities, and pre-operative/post-operative instructions.
Communicate with hospitals, ambulatory surgery centers, vendor representatives, and insurance companies.
Reconcile completed surgeries to ensure procedures, implants, and authorizations match services rendered.
Assist with appeals and peer-to-peer reviews when authorizations are denied.
Maintain accurate documentation in the electronic medical record.