Surgery Scheduler

Trinity Health; Grand Rapids (MI); On-site; USD 42,000 - 60,000; Full time

Job summary

Trinity Health is seeking a Surgery Scheduler to work on site in Grand Rapids. The role involves collecting demographic, financial, and insurance information to schedule patient tests and procedures, validating medical necessity, and providing test preparation instructions.

The candidate will ensure proper billing and work with physicians and staff for smooth care delivery. Minimum qualifications include a high school diploma and knowledge of medical terminology, with experience in surgery

Qualifications

• Must have working knowledge of medical terminology.
• Data entry accuracy of 50–60 keystrokes per minute.
• Experience in patient scheduling in a physician office, hospital, or clinic.

Responsibilities

• Schedule patients for tests and procedures, obtaining demographic, financial, and insurance information.
• Validate Medical Necessity for payer guidelines and ensure financial clearance.
• Communicate test preparation instructions and manage patient itineraries as needed.
• Coordinate scheduling with clinical staff, rooms, and equipment to ensure efficient operations.

Skills

Medical Terminology

Data Entry

Scheduling

Surgery Scheduling

Education

High School Diploma

Associate Degree Preferred

Job description

Employment Type:

Full time

Shift:

Day Shift

Description:

Surgery Scheduler - This is required to work on site, not a remote position.

The Scheduling Representative obtains demographic, financial and insurance information in the process of appointment making for patient tests and procedures. Obtains minimal clinical information; up to and including diagnosis and procedures to create an appointment. Provides instructions to the patient on the test preparation and will print and mail patient itineraries if lead time is sufficient. Validates Medical Necessity (LMRP/LCD review) of Medicare and Non-Medicare cases for non-complex outpatient diagnostic testing to ensure financial clearance. Ensures billing compliance by obtaining and processing signed physician orders to ensure clinical documentation for care delivery.

ESSENTIAL FUNCTIONS

• Ensures patient safety by authenticating patient identity throughout all essential functions.
• Performs activities that relate to patient scheduling, documenting demographic and insurance information to identify and make appointment for correct patient; initiates the physician order verification process.
• Initiates Medical Necessity screening for non-complex diagnostic services according to Medicare and other payer guidelines. Familiar with and can access LMRP/LCD/NCD documentation. Disseminates the patient information, and support coverage of other intra-departmental functions. Contacts physicians/office staff for clarification, if cases require clarification of diagnosis and/or test(s)/procedure(s).
• Determines proper scheduling requirements and/or limitations for non-complex outpatient diagnostic testing. Per clinical unit protocol and instruction colleague utilizes correct equipment, room resource and staffing allocation for accuracy and to ensure a great customer experience.

MINIMUM QUALIFICATIONS

• High school diploma required. Associate’s Degree or an equivalent combination of education and experience preferred.
• Must possess a working knowledge of medical terminology, and data entry skills (50-60 keystrokes per minutes), as normally obtained through a high school diploma and/or associate degree or an equivalent combination of education and experience.
• Past work experience of at least (1) years within a physician office, hospital or clinic environment, performing patient scheduling. Experience surgery scheduling highly desired.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Our Commitment

Our Commitment to Diversity and Inclusion

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

EOE including disability/veteran