Job Information
Orthopedics Rhode Island Surgical Scheduler in Warwick, Rhode Island
[The objective of the Surgical Scheduler role is to help support the surgical scheduling department by creating an effortless patient experience by providing a team-based approach to patient care and an exceptional patient experience. Surgical Scheduler will emphasize highly personalized care and help patients surpass barriers to healthcare by improving the patient/provider relationship. [Duties and Responsibilities include but are not limited to: *[Surgical Scheduling]{gotham="" book""=""}]{gotham="" book""=""}*]{gotham="" book""=""}
- Welcomes patients by greeting them, in person or on the telephone, answering or referring to inquiries.
- Scheduling of all surgical cases for all physicians at the appropriate facility
- Ensure that correct surgical equipment is ordered.
- Coordinates scheduling of all pre-admission testing, lab work, and diagnostic imaging as applicable
- Obtain medical clearance from PCP and specialists as indicated.
- Confirm that cases are scheduled with the correct facility.
- Maintains and updates surgical schedule daily.
- Communicates all changes to the appropriate departments and staff.
- Confirm accurate completion of HandP and consent for each patient.
- Confirm and order cases the day prior to surgical day.
- Prints and distributes daily schedule to physicians, including any necessary patient paperwork.
- Remain accountable and follow through on all commitments made to patients.
- Assist physicians with billing submission.
- Communicate effectively with patients, clinical staff, and physicians.
[Surgical Authorizations:]{gotham="" book""=""}
- Responsible for reviewing for accuracy of information requested and received regarding precertification and/or prior authorization numbers received, as well as supporting documents.
- Responsible for uploading into EHR software system, authorization numbers, time spans/number of procedures, etc. and supporting documentation upon verification that procedures are authorized as requested.
- Responsible for monitoring and tracking of authorization requests and expiring authorizations.
- Obtain prior authorizations as needed for preoperative imaging studies.
- Utilize eligibility/registration software.
- Sending clinical documentation as needed to insurance companies.
- Responsible for the use of and documentation in, EHR software system as the official medical record, following appropriate guidelines for documenting.
- Update facility of patient authorization status and confirm receipt of authorization.
- Set up peer-to-peer as needed.
- Send appeals as needed.
- Communicate effectively with clinical staff and facilities on authorization statuses.
[Additional Responsibilities:]{gotham="" book""=""}
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