Surgical Scheduler - Johns Creek, GA

Alliance Spine and Pain Centers•Johns Creek, GA

4d•Onsite

About The Position

Alliance Spine & Pain is searching for a Surgical Scheduler to join one of its JCAHO-certified ambulatory surgery center teams. This role facilitates excellent patient experiences as they schedule and prepare for their ASC procedures, ensures efficient utilization of ASC and physicians’ time, and helps maximize procedure reimbursements from payers.

Requirements

High School Diploma or GED required.
Working knowledge of Microsoft Office and eClinical.
Strong customer service skills.
Good command of the English language, both verbal and written.
Ability to work well with physicians, employees, patients and others.
Ability to work independently with detail and accuracy.
Ability to apply common sense, understanding to carry out instructions furnished in written, oral or diagram form.
Ability to deal with problems involving several variables.

Responsibilities

Creates and monitors all ASC procedures for the Center, within the constraints of provider templates.
Ensures that procedure orders are in alignment with payers’ medical necessity guidelines. Communicates with provider and Precert department to resolve issues.
Coordinates timing of procedure with pre-certification availability.
Sends pre-certification requests to the Precert department at the time of scheduling procedures.
Sends SCS, DRG, PNS, pain pump, Vertiflex, or any other “big case” referrals directly to the Neuromodulation Coordinator.
Maintains appropriate level of communication with the Front Office Manager and Regional Administrator regarding scheduling conflicts and resource limitations.
Calls patients in the event their procedures must be rescheduled. Compassionately but effectively addresses their scheduling conflicts.
Meets with patients at the completion of their clinic visit to review the provider’s treatment plan, discuss their payer requirements, go over pre-procedure instructions, and answer patient questions regarding their procedures.
Ensures that the Surgical Coordination Checklist and Pre-Procedure instructions are filled out entirely, signed, and dated by the patient and a witness.
Completes review of payer requirements by the end of the day and informs the provider in the event there is an issue.
Works with manager to balance the schedule and continuously monitors the schedule for potential problems or areas for improvement.
Acts as a first line of defense when orders come from clinic to check if orders, benefits and patient surgical history all coordinate for payable claims.
Calls to confirm procedures (may not apply in all Centers).
Reschedules cancelled/no show procedures.
Other duties as assigned.