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Surgery Scheduler

Open 25d

Summary

Coordinates surgery schedules, insurance pre-authorizations, and patient financial counseling for an orthopedic group using medical scheduling and insurance verification workflows.

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.

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