Job Information
Excelsior Orthopaedics Group Surgery Scheduler in Amherst, New York
Role serves as liaison between patients and physician; surgery scheduler schedules all surgeries/procedures, counsels patients prior to surgery regarding pre-operative testing and financial responsibility, obtains authorizations and/clearances from insurance companies, and verifies patient eligibility. Role also handles miscellaneous administrative responsibilities including correspondence and patient records as needed. Additional responsibilities include (but are not limited to):
Receives instructions from physicians about which surgery or test is recommended. Schedules procedures at appropriate facility and appropriate pre-op testing
Obtains precertification/preauthorization from insurance companies prior to surgery for each procedure and test
Verifies patient eligibility and coverage for the procedure; if patient is not eligible on date of service, or procedure is not a covered benefit, explains this to patients
Counsels patients pre-operatively regarding their potential financial obligation, and provides information about patient insurance coverage
Discusses pre-operative testing and instructions with the patient, as directed by physicians
Schedules operating room time, according to physical scheduling protocols. Schedules all appropriate pre-operative tests
Coordinates all business and clinical paperwork prior to surgery, using physician-approved forms and checklists
Responds to written and telephone inquiries from patient and carriers regarding planned surgeries. Maintains communication among the physician, patient, insurance company, and hospital at all times
2+ year experience surgery scheduling highly preferred; EMR experience required -- Medent preferred
Strong familiarity with medical terminology required
Excellent customer service skills required
HS/GED required