Surgical Scheduler - Orthopedics

Vitruvian Health•Cleveland, TN

About The Position

Under the direct supervision of the Practice Manager, the Surgical Scheduler 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, sets expectations before clinic appointments or surgery, and informs patients when and where to report for appointments and procedures. The Scheduler also schedules appointments in response to procedure recalls. The position handles payer prior authorizations, reviews chart documentation to ensure patients meet medical policy guidelines, prioritizes requests according to urgency, and follows up on pending or denied authorizations. The Scheduler contacts patients about authorization status and scans related documentation into the medical record, while complying with HIPAA policies and procedures. As a cross-trained resource, the Scheduler provides front-office coverage as needed to support patient access, workflow efficiency, and continuity of clinic operations. Duties may include patient check-in and check-out, appointment scheduling, registration, and other administrative functions that support clinic operations and a positive patient experience.

Requirements

High school diploma required.
Excellent oral and written communication skills to interact effectively 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 preferred.
Previous work experience in a position involving meeting and communicating with the public preferred.
One to two years of experience in a hospital billing office, medical office registration, medical billing office, or other health care setting preferred.

Responsibilities

Verify patient demographic and financial information.
Provide patients with estimated out-of-pocket costs and payment options to help them understand their financial responsibilities.
Inform patients when and where to report for appointments and procedures.
Schedule appointments in response to procedure recalls.
Obtain prior authorizations from payers for services.
Review chart documentation to ensure patients meet medical policy guidelines.
Prioritize prior authorization requests according to urgency and regularly follow up on pending cases and denied authorizations.
Contact patients regarding authorization status.
Scan authorization-related documentation into the patient's medical record.
Comply with HIPAA policies and procedures.
Provide cross-trained front-office coverage as needed.
Assist with patient check-in and check-out, appointment scheduling, registration, and other administrative functions.