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Surgery Scheduler
| Company | Advocate Health Care |
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| Location | Oconomowoc, WI, USA |
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| Salary | $21.45 – $32.2 |
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| Type | Full-Time |
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| Degrees | |
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| Experience Level | Junior |
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Requirements
- 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.
- High School Graduate.
- Typically requires 1 year of experience in scheduling.
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.
Preferred Qualifications
No preferred qualifications provided.
