Scheduler - Full Time First Shift

Valley Health•Winchester, VA

21h•Onsite

About The Position

The Surgical Scheduler is responsible for surgical scheduling for department providers, oversight and coordination of block time, and working with operating room (OR) schedulers to optimize provider OR time and schedules. The Surgical Scheduler reports to the Manager, Physician Practice.

Requirements

High School Diploma or GED required
Minimum two years of work experience or Associate degree accepted in lieu of work experience, required
Demonstrates a high-level understanding and application of insurance payors and interpretation of medical benefits.
Excellent communication and interpersonal skills required, including ability to speak with patients, providers, payors and internal customers while inputting information online.
Must be able to successfully apply medical necessity criteria and authorization criteria to individual situations.
Demonstrates a high-level understanding of discount programs and payment options.
Must be able to communicate denials and peer to peer requests to physician office teams, as well as requests for additional clinical information and orders.
Ability to work with minimal supervision on individual and team projects.

Nice To Haves

Associates preferred
Health or human services experience preferred
Experience in a community health or similar role preferred
Extensive medical terminology, ICD-10 and CPT coding highly preferred.

Responsibilities

Responsible for scheduling surgical cases according to scheduling guidelines and current block schedule using faxes, emails, telephone and other incoming communication mechanisms as appropriate.
Responsible for obtaining insurance authorizations, including providing pre-registration, verifying insurance and ensuring preauthorization requirements have been met from all potential payor sources.
Performs outgoing calls to patients and physician offices regarding reschedules and cancelations.
Cross-references patient and department information for multiple procedures to improve patient flow and minimize risk of clinical contradictions.
Maintains up-to-date knowledge of procedures, policies, insurance requirements, and registration and patient access function and tools by actively participating in in-services and training sessions.
Required to accurately document information into Epic as appropriate.

Benefits

A Zero-Deductible Health Plan
Dental and vision insurance
Generous Paid Time Off
Tuition Assistance
Retirement Savings Match
A Robust Employee Assistance Program to help with many aspects of emotional wellbeing
Membership to Healthy U: An Incentive-Based Wellness Program
health savings account
flexible spending account for childcare
life insurance
short-term and long-term disability
professional development
discounts to on-campus dining