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Warwick

    Surgical Scheduler - Warwick, United States - Ortho Rhode Island

    Ortho Rhode Island
    Ortho Rhode Island Warwick, United States

    1 week ago

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    Description

    Job Description

    Job Description

    Ortho Rhode Island is a world-class group of talented providers and professionals, all working together to offer value and quality in everything we do. Each Ortho Rhode Island team member is dedicated to thinking like a patient, and to offering the best experience in our industry, driven by our core values: delivering on our word, respecting each other, innovating in orthopedics, valuing every individual, and engaging our community.

    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

    1. Welcomes patients by greeting them, in person or on the telephone, answering or referring to inquiries.
    2. Scheduling of all surgical cases for all physicians at the appropriate facility
    3. Ensure that correct surgical equipment is ordered.
    4. Coordinates scheduling of all pre-admission testing, lab work, and diagnostic imaging as applicable
    5. Obtain medical clearance from PCP and specialists as indicated.
    6. Confirm that cases are scheduled with the correct facility.
    7. Maintains and updates surgical schedule daily.
    8. Communicates all changes to the appropriate departments and staff.
    9. Confirm accurate completion of H&P and consent for each patient.
    10. Confirm and order cases the day prior to surgical day.
    11. Prints and distributes daily schedule to physicians, including any necessary patient paperwork.
    12. Remain accountable and follow through on all commitments made to patients.
    13. Assist physicians with billing submission.
    14. Communicate effectively with patients, clinical staff, and physicians.

    Surgical Authorizations:

    1. Responsible for reviewing for accuracy of information requested and received regarding precertification and/or prior authorization numbers received, as well as supporting documents.
    2. 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.
    3. Responsible for monitoring and tracking of authorization requests and expiring authorizations.
    4. Obtain prior authorizations as needed for preoperative imaging studies.
    5. Utilize eligibility/registration software.
    6. Sending clinical documentation as needed to insurance companies.
    7. Responsible for the use of and documentation in, EHR software system as the official medical record, following appropriate guidelines for documenting.
    8. Update facility of patient authorization status and confirm receipt of authorization.
    9. Set up peer-to-peer as needed.
    10. Send appeals as needed.
    11. Communicate effectively with clinical staff and facilities on authorization statuses.

    Additional Responsibilities:

    1. Compliance with HIPAA and OSHA regulations
    2. Responsible for contributing to department development.
    3. Other duties may be assigned as necessary.

    Performance Requirements:

    Knowledge:

    1. Excellent computer skills
    2. EMR Systems
    3. Practice Management System
    4. Microsoft Suite (including Outlook, Word, Excel, Calendar)
    5. Phone Software
    6. Health IPASS
    7. Navigating Insurance Authorization websites
    8. Clinical knowledge
    9. Effectively communicate tasks or projects to team members
    10. Ability to collaborate with supervisory teams and administrators on projects or assigned tasks.

    Skills:

    1. General understanding of orthopedic terminology
    2. Familiarity and follow through with all HIPAA compliance.
    3. Attention to detail.
    4. Self-motivated, showing initiative to tackle important issues, problems, and tasks.

    Abilities:

    1. Embracing ORI's mission and vision through friendly and patient-oriented service
    2. Demonstrate excellent teamwork, organizational, and communication skills.
    3. Adheres to processes, while looking for opportunities for innovation and improvement
    4. Critical thinking skills and deliberate decision making.
    5. Able to work at a fast pace, while demonstrating patience with patients
    6. Prioritize orders based on medical necessity.
    7. Adheres to processes, while looking for opportunities for innovation and improvement
    8. Assertive

    Work Environment:

    This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, and filing cabinets.

    Physical Demands:

    • Requires mobility, frequent walking, standing, and sitting, some bending, stooping, and stretching and periodic lifting of up to 25 lbs.
    • While performing the duties of this job, the employee is regularly required to converse and hear.
    • Requires normal (corrected) vision.
    • Requires coordination and manual dexterity sufficient to operate office equipment.

    Position Type and Expected Hours of Work:

    This is a full-time, Monday through Friday position. Shifts will be assigned in advance but may vary depending on the Company Schedule. The hours will typically range from 7:30 am to 5:00 pm.

    Travel:
    No overnight travel is expected for this position. There may be occasional local day travel to Company Divisions.

    Required Education and Experience

    1. High School Graduate or equivalent
    2. 2 - 3 experience in a medical office or practice
    3. Any combination of education, training, and experience that demonstrates the ability to perform the duties of the position.
    4. Experience with Electronic Medical Records

    Ortho RI is an equal opportunity employer committed to diversity, equity, and inclusion in all aspects of the recruiting and employment process.

    Please note this job description is not designed to cover or contain a comprehensive listing of all activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
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