Surgery Scheduler

Trinity Health•Muskegon, MI
•Onsite

About The Position

The Surgery Scheduler is an on-site, non-remote role. The Scheduling Representative obtains demographic, financial, and insurance information when arranging patient tests and procedures. The role gathers limited clinical information, including diagnoses and procedures needed to create appointments, provides patients with preparation instructions, and prints and mails patient itineraries when sufficient lead time is available. The position validates medical necessity for Medicare and non-Medicare cases involving non-complex outpatient diagnostic testing to support financial clearance. It also helps ensure billing compliance by obtaining and processing signed physician orders to establish clinical documentation for care delivery.

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 preferred.
  • Experience in surgery scheduling highly desired.

Responsibilities

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