Surgery Scheduler Auth

Major Responsibilities:

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  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.
  
  



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  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.
  
  



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  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.
  
  



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  Screens referrals and pre-certification requests for completeness, coverage, network affiliation and medical appropriateness.
  
  



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  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.
  
  



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  Directs surgeries to appropriate facility to allow for maximum reimbursement. Coordinates insurance issues with pre-registration and/or credit department when appropriate.
  
  



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  Acts as a liaison with physicians, patients, patient care staff, families, vendors/providers and insurers regarding referrals and preauthorizations.
  
  

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  None Required.
  
  

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  High School Graduate.
  
  

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  Typically requires 1 year of experience in scheduling.
  
  

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  Ability to provide good customer service and multi-task on a regular basis.
  
  



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  Knowledge of insurance coverage.
  
  



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  Strong verbal, interpersonal, and written communication skills.
  
  



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  Ability to pay close attention to detail in a fast-paced environment.
  
  



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  Must have knowledge on how to navigate on the Internet.
  
  



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  Proficient computer and keyboarding skills.
  
  



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  Strong ability to prioritize work flow.
  
  

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  Exposed to a normal office environment. May be exposed to high noise level.
  
  



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  Must be able to sit majority of the workday.
  
  



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  Must be able to lift up to 10 lbs. occasionally.
  
  



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  Operates all equipment necessary to perform the job.