Surgery Scheduler Auth

Atrium Health; Charlotte (NC); On-site; USD 32,000 - 45,000; Full time

Job summary

Atrium Health in Charlotte, NC is seeking an organized scheduling professional to manage operating room calendars for surgeries and communications with physicians, facilities, and patients. Role focuses on verifying pre-operative requirements, educating patients, and coordinating referrals and preauthorizations with insurers.

This position requires strong customer service, attention to detail, and the ability to multitask in a fast-paced healthcare setting.

Qualifications

• High School Diploma required.
• Typically requires 1 year of scheduling experience.
• Strong customer service and multi-tasking abilities.
• Knowledge of insurance coverage and eligibility.
• Excellent verbal and written communication skills.
• Detail oriented with ability to work in a fast-paced environment.

Responsibilities

• Schedules surgeries for patients and physicians, coordinating with facilities and obtaining necessary information.
• Verifies patient history, physicals, and test results to ensure timely pre-op readiness.
• Provides pre- and post-operative education to patients and families, referring to nurses as needed.
• Screens referrals and pre-certification requests for completeness and medical necessity.
• Collaborates with managers and insurers on referrals, denials, and policies as needed.
• Directs surgeries to appropriate facilities to maximize reimbursement and communicates with registration and billing.

Skills

Customer service

Multi-tasking

Insurance knowledge

Verbal communication

Written communication

Attention to detail

Internet navigation

Computer skills

Keyboarding skills

Prioritize workflow

Education

High School Diploma

Job description

• Schedules surgeries for patients and physicians. This includes but is not limited to, calling, faxing, contacting facilities, providing necessary scheduling information, ensuring special equipment, coordinating and confirming schedules.
• Assures all necessary requirements for surgery are met, including patient's history, physical, and ancillary testing results to assure timely completion prior to procedure. Forwards to facility and/or physician as indicated.
• Provides general information and education regarding pre and post-operative care with patient and/or family members. Assesses when further education is needed and refers back to the nurse as indicated. Redirects patients back to specialists/providers and facilities where appropriate.
• Screens referrals and pre-certification requests for completeness, coverage, network affiliation and medical appropriateness.
• Collaborates with the manager and/or insurance company to review referrals and/or pre-certification, policies, practice guidelines, denials, patient noncompliance, medical necessity, physician issues and other managed care issues as needed.
• Directs surgeries to appropriate facility to allow for maximum reimbursement. Coordinates insurance issues with pre-registration and/or credit department when appropriate.
• Acts as a liaison with physicians, patients, patient care staff, families, vendors/providers and insurers regarding referrals and preauthorizations.

Major Responsibilities

• Schedules surgeries for patients and physicians. This includes but is not limited to, calling, faxing, contacting facilities, providing necessary scheduling information, ensuring special equipment, coordinating and confirming schedules.
• Assures all necessary requirements for surgery are met, including patient's history, physical, and ancillary testing results to assure timely completion prior to procedure. Forwards to facility and/or physician as indicated.
• Provides general information and education regarding pre and post-operative care with patient and/or family members. Assesses when further education is needed and refers back to the nurse as indicated. Redirects patients back to specialists/providers and facilities where appropriate.
• Screens referrals and pre-certification requests for completeness, coverage, network affiliation and medical appropriateness.
• Collaborates with the manager and/or insurance company to review referrals and/or pre-certification, policies, practice guidelines, denials, patient noncompliance, medical necessity, physician issues and other managed care issues as needed.
• Directs surgeries to appropriate facility to allow for maximum reimbursement. Coordinates insurance issues with pre-registration and/or credit department when appropriate.
• Acts as a liaison with physicians, patients, patient care staff, families, vendors/providers and insurers regarding referrals and preauthorizations.

Licensure, Registration, And/or Certification Required

• None Required.

Education Required

• High School Graduate.

Experience Required

• Typically requires 1 year of experience in scheduling.

Knowledge, Skills & Abilities Required

• Ability to provide good customer service and multi-task on a regular basis.
• Knowledge of insurance coverage.
• Strong verbal, interpersonal, and written communication skills.
• Ability to pay close attention to detail in a fast-paced environment.
• Must have knowledge on how to navigate on the Internet.
• Proficient computer and keyboarding skills.
• Strong ability to prioritize work flow.

Physical Requirements And Working Conditions

• Exposed to a normal office environment. May be exposed to high noise level.
• Must be able to sit majority of the workday.
• Must be able to lift up to 10 lbs. occasionally.
• Operates all equipment necessary to perform the job.

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.