Surgical Scheduler - Orthopedics

Vitruvian Health•Cleveland, TN

About The Position

The Surgical Scheduler - Orthopedics works under the direct supervision of the Practice Manager. The representative verifies demographic and financial information and helps patients understand their financial responsibilities by providing estimated out-of-pocket costs and payment options. The role delivers customer service, communicates where and when patients should report for appointments and procedures, and schedules appointments in response to procedure recalls. The position handles prior authorizations for services, reviews chart documentation to confirm medical policy guidelines are met, prioritizes requests by urgency, and follows up on pending or denied authorizations. The representative contacts patients with authorization updates and scans related documentation into their medical records. The role complies with HIPAA policies and procedures. As a cross-trained resource, the representative provides front-office coverage as needed, including patient check-in and check-out, appointment scheduling, registration, and other administrative work to support clinic operations and patient access.

Requirements

Completion of a high school diploma.
Excellent oral and written communication skills for interacting with internal and external customers.
Knowledge of medical terminology and third-party payer terminology.
At least a minimal understanding of how CPT-4 and ICD-10 codes are used in health care billing.
Intermediate proficiency in Microsoft Outlook, Word, and Excel.

Nice To Haves

College-level courses.
Previous work experience in a position involving meeting and communicating with the public.
One to two years of experience in a hospital billing office, medical office registration, medical billing office, or other health care setting.

Responsibilities

Verify patient demographic and financial information.
Explain estimated out-of-pocket costs and payment options to patients.
Provide patients with information about when and where to report for appointments and procedures.
Schedule appointments in response to procedure recalls.
Perform tasks related to obtaining prior authorizations from payers.
Review chart documentation to ensure patients meet medical policy guidelines.
Prioritize incoming prior authorization requests according to urgency and regularly follow up on pending cases and denied authorizations.
Contact patients regarding authorization status and scan related documentation into the patient's medical record.
Comply with HIPAA policies and procedures.
Provide front-office coverage as needed, including patient check-in/check-out, appointment scheduling, registration, and other administrative functions.