The successful applicant will be reliable, as a part of the team each member must be present, driven and results-focused with a "can do attitude."
You will be responsible for daily maintenance of the surgery schedule and all aspects of the scheduling process. This includes ensuring high levels of customer service through strategizing and problem solving with Provider Scheduling Teams, Operating Room Coordinators, Insurance Verification staff and Material Management.
You will ensure accurate transactions and processes which require a high level of professional judgment and discretion in carrying out assignments, the ability to problem solve, a high degree of confidentiality, and the ability to work under pressure.
Profile Insights/Skills: -Professional appearance -Must be able to communicate verbally and non-verbally in a professional manner
-Ability to identify opportunities to improve scheduling conflicts efficiently -Interacts with providers, clinic staff, payers, vendors, patients, patient's families, and fellow employees. -Must have problem solving and decision-making skills -Ability to promote positive relationships with patients and staff -Must be well organized and detail oriented. -Ability to use time wisely in preparing work area to meet high-paced demand. -Strong medical terminology and understanding of CPT and ICD Code selection required -Computer experience essential -Must have the skills necessary to operate the office equipment required to fulfill job duties -Must demonstrate excellent phone etiquette and exceptional customer service skills
JOB SUMMARY The (ASC) Surgical Scheduler is responsible for approving scheduling requests received by the Provider Surgery Coordinators. To ensure accurate approvals the ASC Scheduler must have open communications with the OR Manager, Anesthesia partners, Vendors and other Internal team members. The scheduler will work closely with the OR Manager to avoid equipment and/or supply conflicts. They will be responsible for altering all care teams when there are schedule changes.
Pre-Service Verification: You will be responsible for obtaining, validating and entering patient demographic and insurance information into the Practice Management system - as obtained from the surgical schedule and/or ASC scheduler. Obtains demographic information / surgical checklists from scheduling
Insurance Verification: Verifies insurance coverage based on information provided by physician offices at the time of scheduling. Contacts patient to gather additional information, if needed. Pre-qualifies third party coverage of scheduled procedure(s).
Actively coordinates with materials management regarding required implants, equipment and/or supplies needed for scheduled cases in order to calculate allowable and patient responsibility accurately.
Reviews pre-qualification for third party payer before date of scheduled admission and contacts payer to ensure facility is covered for pre-certifications and pre-qualifications.
Verify Insurance Benefits and Determine patient responsibility based on Insurance Contract
Determines patient qualification for coverage by third party payer and informs patient or authorized party of status. If patient is not covered, arranges for payment following company designated program
Places calls to offices as needed to obtain and to ensure timely processing of verification
Performs insurance verification process and completes it with thorough documentation of benefits, patient information and any other financial information obtained.
Financial Counseling: Notify patients of their financial responsibility prior to the scheduled date of service.
Reviews financial obligation with patient and authorized party following USPI's Surgicares program or any other program established by the company.
Communication Responsibilities to include, but not limited to:
Provides payment arrangement documentation for surgical procedures to appropriate individuals
Maintains current materials, such as Care Credit brochures and forms, MedDraft forms, etc. for patient education, review and signature.
Discusses documentation with patient and family member confirming instructions are understood and questions answered
Answer patient and authorized party's questions and refers questions to healthcare professionals when appropriate
Discusses financial obligations with the patient or authorized party, explaining fees and reimbursement process
At patient request, provides a written explanation of estimated fee schedules prior to surgery and documents it in the patient's medical record
Assists in planning a payment schedule for the patient, if appropriate
Counsel's patients about facility charges, insurance coverage, and patient responsibility.
Liaise with the patients, insurers, ASC scheduler and other front desk team members.
QUALIFICATIONS - Minimum 2-4 years of hospital or medical office experience required. - Must be able to communicate verbally and non-verbally in a professional manner. - Ability to use time wisely in preparing work area to meet high-paced demand. - Show a genuine desire to work and improve the ASC as a whole.
- Must be a high school graduate.
JOB BEHAVIOR: REFLECTIVE OF MISSION STATEMENT
USPI's mission statement is to provide first class surgical services for the local community in a safe, comfortable and welcoming environment; one in which we would be happy to treat our own families. Demonstrates ability to work as a team member and to communicate directly and professionally. Is flexible, reliable, productive, patient oriented, and self-motivated. Demonstrates knowledge and skills necessary to provide care appropriate to the age of the patients served. Demonstrates knowledge of the principles of growth and development over the life span. He/she is able to identify and categorize each patient's age-specific grouping of needs, such as those for an infant, adolescent, adult or geriatric patient. Maintains professional conduct and appearance.
Benefits:
401(k) 401(k) matching Dental insurance Employee assistance program Health insurance Life insurance Paid time off Referral program Tuition reimbursement Vision insurance
Work Locations: reliable transportation and ability to travel between two locations, as needed
United Surgical Partners International (USPI), a subsidiary of Tenet Healthcare Corporation (NYSE: THC), operates the largest ambulatory platform in the country. With more than 465+ facilities across the United States, the company serves patients in ambulatory surgery centers and surgical hospitals. For more information, please visit www.uspi.com. USPI’s mission is simple, but the gravity of it is profound. We care for every patient and their family as if they were our own. Each patient, each family, each and every time.