Surgical Scheduler- Urogynecology

Hartford Healthcare•Milford, CT

About The Position

Responsible for scheduling hospital-based procedures/surgeries in accordance with physician’s orders and insurance requirements, ensuring all necessary paperwork and required tests needed prior to surgery are accurately completed, and clearly communicated pre- and post-surgery instructions to patients. Ensures reconciliation of all dropped charges to ensure they match authorized procedures and escalate to appropriate parties, if necessary. Responsible for maintaining and managing resources, including insurance portal access, and provides consistent documentation in EPIC to support the obtained insurance authorization. Communicates changes in payer and or federal regulatory guidelines to their manager, pharmacy staff, providers and other clinical departments, as applicable. Communicates with patient to provide pre- and post-surgery instructions, and obtains completed consent forms and required tests or preparations needed prior to surgery. Prepares and distributes surgery packets to patients. Keeps physician and clinical staff informed regarding pre-op testing and maintains updated documentation and charts available for physician review. Coordination with hospital staff for scheduling according to assigned block time and collaboration with hospital teams for inpatient case coordination and add-ons. Ensures necessary H&P, surgical clearance, blood work and other patient tests are completed. Scan all necessary clinical documents. Contacts insurance company to obtain pre-certification of surgeries based on booking sheet and documents in chart. Responsible for maintaining and obtaining all surgical authorizations. Updates surgical authorizations with changes related to booked cases.

Requirements

High school diploma
Three years of experience in a healthcare setting
Three years of experience in surgical scheduling, preferably with a high volume surgical practice

Responsibilities

Scheduling hospital-based procedures/surgeries in accordance with physician’s orders and insurance requirements.
Ensuring all necessary paperwork and required tests needed prior to surgery are accurately completed.
Clearly communicating pre- and post-surgery instructions to patients.
Ensuring reconciliation of all dropped charges to ensure they match authorized procedures and escalate to appropriate parties, if necessary.
Maintaining and managing resources, including insurance portal access.
Providing consistent documentation in EPIC to support the obtained insurance authorization.
Communicating changes in payer and or federal regulatory guidelines to their manager, pharmacy staff, providers and other clinical departments, as applicable.
Communicating with patient to provide pre- and post-surgery instructions.
Obtaining completed consent forms and required tests or preparations needed prior to surgery.
Preparing and distributing surgery packets to patients.
Keeping physician and clinical staff informed regarding pre-op testing.
Maintaining updated documentation and charts available for physician review.
Coordination with hospital staff for scheduling according to assigned block time.
Collaboration with hospital teams for inpatient case coordination and add-ons.
Ensuring necessary H&P, surgical clearance, blood work and other patient tests are completed.
Scanning all necessary clinical documents.
Contacting insurance company to obtain pre-certification of surgeries based on booking sheet and documenting in chart.
Maintaining and obtaining all surgical authorizations.
Updating surgical authorizations with changes related to booked cases.