Surgery Scheduler
Summary
Coordinates surgery schedules, insurance preauthorization, and patient financial counseling for an orthopaedic practice using standard office software and healthcare systems.
Job Summary
Surgery scheduling specialists act as a liaison between patient and physician, schedules all surgeries and pre-operative tests, and counsel's patients prior to surgery regarding financial responsibility.
Duties and Responsibilities:
- 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.
- Perform any other duties assigned.