Surgical Scheduler - OB/GYN

Under general supervision, schedules all division surgeries and incidental testing. Ensures that all primary care referrals are handled according to practice and payer guidelines. Ensures that referral and pre-authorization activities are undertaken in order to provide maximum patient and provider satisfaction and maximum reimbursement; and other duties as assigned.

EDUCATION and/or EXPERIENCE

• High school diploma or general education degree (GED)
• Two years related medical office experience
• Accurate data entry skills
• Current knowledge of payer requirements for referrals and preauthorization.
• Knowledge of IDX or similar computerized billing system
• Knowledge of ICD-9 and CPT coding

• General understanding of back office operations
• Strong customer service skills
• PC proficiency
• Medical terminology preferred

ESSENTIAL JOB FUNCTIONS

1. Schedules surgical cases daily following specified clinical and time allocation guidelines via automated scheduling systems through telephone contact with physicians’ offices, fax, website retrieval, or personally with the physician and/or resident; uses manual systems in the event of automated system downtime.
2. Interprets clinical requirements to effectively manipulate the schedule continually to achieve optimum placement of cases, customer satisfaction, and accurate patient charging.
3. Collaborates daily with the appropriate Nursing personnel and respective staff to coordinate surgical schedule to provide optimum use of the operating rooms and facilities.
4. Proactively communicates with the appropriate staff regarding special requests for personnel, equipment and facilities; scheduling conflicts arising from resource requests are resolved with management staff to ensure resource availability and optimum use of the facilities before finalizing schedules.
5. Ensures that patient demographic and clinical data on newly scheduled cases or changes to existing scheduled cases is communicated to Patient Registration.
6. Maintains Inactive Physicians information within the appropriate information system to ensure scheduling according to medical center protocol.
7. Generates surgical schedule for all areas daily and ensures delivery via fax or email to designated locations/offices.
8. Performs post-operative entry of clinical, supply and billing information into the appropriate information system and/or directly in the event of system downtime or emergency.