Surgical Scheduler

Illinois Bone and Joint Institute LLC•Park Ridge, IL

About The Position

The Surgical Scheduler is responsible for all functions related to surgical scheduling, pre-certification and verification of insurance benefits. This position is also responsible for the coordination of referrals for patient appointments and surgical procedures as required.

Requirements

High School diploma or general education degree (GED) required; or at least one year medical office experience, preferably with electronic medical records (EMR); Associates degree preferred.
Knowledge in medical terminology
Ability to handle highly confidential, sensitive and non-routine information
Comfortable using email and interacting with Internet applications
Knowledge of practice management and EHR system
Ability to perform multiple and diverse tasks simultaneously
Strong written and verbal communication skills

Responsibilities

Coordinate the scheduling of surgical procedures for assigned surgeons in the practice, as well as a working knowledge for scheduling surgery for all surgeons.
Upon initiation of surgical request by the physician, discuss, determine and coordinate surgical date with patient/family in accordance with physician’s schedule.
Provide patient with the following information, as required: Cardiac and Medical clearance.
Scheduling appropriate pre-operative and post-operative appointments including pre-admission testing
Pre-surgical history and physical and post-op visits.
Schedule surgical procedure with hospital or surgical center providing:
Diagnosis, surgical procedure, type of anesthesia, type of admission and instrumentation required, and
ICD-10 and CPT codes, as required.
Completing all necessary forms related to surgery scheduling
Assisting patients with scheduling follow-up appointments if pre-op labs or EKGs are not within normal limits
Contacting equipment representatives or arranging for surgical equipment as needed.
Notify instrumentation representatives of special requests.
Notify the surgical assistant of add-ons and cancellations.
Prepare weekly OR schedule in absence of Surgical Scheduler Assistant, updates add-ons or cancellations.
Maintaining and updating the physician's surgical calendar
Initiate request for HMO/POS Insurance Plan referrals.
Working knowledge of obtaining pre-cert and benefit verification for Commercial/PPO Insurance Plans.
For Workers’ Compensation Plans: Contact insurance carrier claim adjustor and secure authorization for surgery. Fax clinical notes and/or test results to claim adjustor.
Advise patient/family regarding self-pay arrangement requirements.
Notify appropriate Business Office staff regarding all self-pay patients’ scheduled surgery.
Verify with Business Office staff to ensure that payment arrangements have been made.