Test and Surgery Scheduler - Sports

OrthoCarolina•Charlotte, NC

2d•Onsite

About The Position

The Test and Surgery Scheduler arranges surgeries and diagnostic tests with area hospitals and diagnostic facilities based on physician/patient preferences and insurance plan requirements. This role also arranges pre-surgical appointments such as labs, imaging, and medical clearance. The scheduler creates Auth/Cert and referrals, pre and post-op appointments, and obtains pre-certification as required. They also schedule peer-to-peer meetings for insurance approval and facilitate information gathering for medical appeals. Additionally, the role involves managing in-basket and voicemail messages.

Requirements

High School Diploma, GED, or equivalent experience.
A minimum of one year medical office experience.
Familiar with insurance companies, CPT and ICD9 codes.
Knowledge of medical terminology/CPT and ICD9.
Knowledge of interrelationship of clinical services department.
Ability to communicate with patients, medical facilities’ personnel and testing centers’ personnel.

Nice To Haves

Associate’s or Bachelor’s degree preferred.
Previous high volume surgery scheduling experience preferred but not required.

Responsibilities

Arranges surgeries, procedures and diagnostic tests with area hospitals and diagnostic facilities based on physician/patient preferences and insurance plan requirements.
Arranges pre surgical appointments such as, labs, imaging, and medical clearance requested.
Schedules in office procedures, cell therapy, VISCO appointments etc and obtains necessary authorization.
Creates Auth/Cert and referrals, pre and post op appointments and obtains pre-certification as required.
Schedules peer to peer meetings for insurance approval as well as facilitate information gathering for medical appeals.
Manages in basket and voice mail messages.
Gives general instructions and explains procedures that are scheduled with the patients and provides the patient with written instructions including date, time and facility directions for the procedure that is scheduled.
Coordinates patient care with hospitals, blood donations, radiology, anesthesia and the patient’s primary care physician.
Provides patient teaching on surgical procedures; pre and postoperative care via verbal, written and videotaped communication.
Loads all surgeries into centricity filling in appropriate fields in data set and enters surgery in physician outlook calendar.
Schedules patient education and medical clearance appointments as needed.
Obtains second opinions and medical clearance as needed and arranges patient education and medical clearance appointments as needed.
Creates referral, tasks, post op appointments and obtains pre-certification as required.