Job Details

Surgery Scheduler Clinic

Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings.

As our Surgery Scheduler, you will be a critical orchestrator of complex operational logistics, ensuring seamless alignment of resources, personnel, and services.

Every day, you will expertly manage intricate scheduling and resource allocation while meticulously entering and maintaining data. You will also produce schedules, and oversee template maintenance.

To be successful in this role, you will possess exceptional organizational skills, meticulous attention to detail, strong communication, and proficiency with scheduling systems. Your proactive approach and commitment to operational precision are paramount.

• Schedules appointments and ancillary services – surgical procedures.: Schedules patient surgical procedures based on authorized referral in accordance with established standards and procedures; verifies and reviews physician privilege status prior to scheduling. Gathers and documents insurance eligibility data, conducting routine verifications that can be done quickly during conversation; enters data in patient's electronic medical record as appropriate.
• Schedules or coordinates pre-surgery clearance requirements prior to procedure. Reviews applicable work queue to identify patients requiring contact to confirm an existing appointment, and/or schedule a periodic future visit; contacts patient in accordance with established procedures. Contacts and follows up with patients to reschedule a missed/cancelled appointment; documents reason(s) for no-show in accordance with established procedures; notifies management if patient has violated a policy and further action is required.
• Makes arrangements for addressing special/ancillary patient requirements, including transportation, interpreters and other needs relating to patient care and satisfaction. May interact with referring clinic to ensure successful coordination of patient care. Assists in the scheduling of specialty care visits; works closely with the scheduling PAR at the specialty (referral) clinic, or the relevant hospital department to ensure that referrals are scheduled to meet the needs of the patient. Gathers insurance eligibility information and obtains pre-authorization for surgery.
• Uses various techniques to ensure insurance eligibility (e.g. Real Time Eligibility, insurance web-sites, direct contact with insurance payor, etc) Ensures that all authorizations are acquired from insurance companies prior to scheduled procedure. Makes registration and other front-end corrections prior to patient visit; ensures that all missing and erroneous information is updated before patient visit. Coordinates patient instructional/educational activities.
• Works with clinic team, patients and/or employers to ensure that patients receive adequate instructions and information regarding educational opportunities relevant to the patient's referral; provides information to patients regarding their referral appointment and service for testing, financial policies, registration requirements, etc. Verifies that the patient has followed through with the referral. Coordinates purchase of materials and/or the rental of medical equipment relevant to the patient's referral.
• Provides patient with pre-visit prep materials; packages materials to correspond with type/nature of patient appointment and sends to patient in a timely manner Provides basic information in response to patient questions on billing and insurance matters; obtains a non-complex cost estimate when requested; refers questions regarding more complex cost estimates/benefits information to Financial Counselor.

Required

Two years of work experience in a medical office or healthcare environment where knowledge of medical terminology, insurance companies and codes as well as policies and procedures was necessary to perform the job