Sr. Scheduler Surgical - Ortho

• 1 YEAR OF HEALTHCARE SCHEDULING/CLERICAL with ICD10, CPT CODING REQUIRED
• KNOWLEDGE OF HEALTH CARE PLAN REQUIREMENTS

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• Schedules surgeries and high level procedures according to procedure and knowledge of physician privileges, block times (when appropriate), acquiring pertinent patient data, and verification of physician requests. May identify variances, opportunities and addresses areas of concern to ensure appropriate and accurate charging for surgical services. May post and process surgical charges, including the utilization of materials, supplies and implantable devices (and related regulatory information) into the designated computer system as necessary to remain within hospital guidelines and performs journaling by entering/transcribing data as needed.
  
• Registers patients, gathers demographic, medical and financial information critical to overall patient care and reimbursement. Determines insurance coverage and obtains prior approval for preoperative testing to comply with payor contract requirements avoiding non-compliant penalties to patient, hospital and physicians. Contacts appropriate surgical patients to schedule preoperative classes, education, and testing appointments (if applicable). Processes pre-registration accounts 24 - 48 hours prior to patient's admission and initiates patient's medical record. Distributes registration documents to appropriate staff/department. Obtains signatures for patient medical authorization and financial responsibility.
  
• Verifies material resources, instruments, and equipment are available to provide optimal physician and patient care.
  Provides coordination and information to all disciplines and departments to ensure efficient and effective workflow. Coordinates surgery and procedures schedule with appropriate department/anesthesia office according to departmental guidelines. Runs daily reports to meet the defined needs of the management team, such as charge audit and charge capture reports, etc. Performs other duties as assigned.