Medical Scheduler

Job Description

Job Description

Minimum of 2+ years of progressive experience in patient registration, medical scheduling, insurance verification, or surgical scheduling within a healthcare setting
• Surgical scheduling experience required
• Experience with insurance authorization, pre-certification, and eligibility verification required
• Experience coordinating multiple providers, appointments, and procedures in a fast-paced clinical environment
• Proficiency with Cerner or a similar EMR scheduling system
• Proficient knowledge of medical insurance verification procedures
• Knowledge of medical terminology
• Working knowledge of healthcare insurance, referrals, pre-certifications, authorizations, and billing processes
• Proficiency with Microsoft Office applications
• Strong organizational and multitasking skills
• Excellent verbal, written, interpersonal, and customer service skills
• Ability to work effectively with patients, families, physicians, and multidisciplinary teams
• Strong attention to detail and documentation accuracy
• Coordinate clinic visits and surgical procedures for pediatric patients.
• Schedule procedures for Children's Hospital Operating Room, Ambulatory Surgery Center, and affiliated hospitals or surgery centers.
• Obtain physician and facility pre-certifications and prior authorizations.
• Verify insurance eligibility, benefits, referrals, copays, deductibles, and required documentation before procedures.
• Coordinate appointments, diagnostic testing, anesthesia consultations, and surgical services to provide a seamless patient experience.
• Maintain accurate patient registration, demographic, insurance, and guardianship information.
• Communicate with parents, guardians, physicians, and internal departments regarding scheduling, authorizations, and procedural requirements.
• Coordinate vendor services and specialized equipment required for surgical procedures.
• Monitor case readiness and ensure all required documentation is complete prior to surgery.
• Support a collaborative team environment while