Surgery Scheduler Coordinator- HS Ortho Clinic

Under general direction of the Clinic Practice Manager, the Surgery Scheduling Coordinator is responsible for scheduling all inpatient and outpatient surgical and medical procedures and any associated tests/studies ordered by the physician. Works with patients and referring physician offices to ensure patient’s referral needs are fulfilled for specialty service office visits. Works directly w/ appropriate staff to ensure all payer pre-authorizations are obtained prior to date of service. Ensures clinical and OR schedules are in alignment per Physician orders. Provides support, and communicates necessary information to patients, nurses and physicians regarding surgery scheduling.

• Communicate and collaborate w/ nursing team, physician(s), financial counselors, care coordinators, Practice Manager and anyone else that may involve in specific patient scheduling coordination.
• Coordinate, register and schedule appointments for patients according to availability with hospital scheduling team.
• Maintain the [clinic] surgery schedule, providing necessary information to patients and physicians.
• Conduct patient pre-certification on proper insurance approval for appointments and medical care.
• Ensure all pre-operative required tests needed prior to surgery, are scheduled and completed.
• Gather, verify, and process referrals, authorizations, and pre-certifications by working closely with physician(s), patients, and payers.
• Communicate detailed information and answers patients' questions regarding their health care plan; provide answers to billing and insurance clarification questions.
• Set up appointments, coordinate clinic visits, and any special arrangements such as transportation, interpreter services, specialty care, etc.
• Coordinate flow of information between medical clinic and referral authorization department to secure a valid referral for clinic patient.
• Enter referrals, documents communications and action into the system, as appropriate.
• Notify physician(s) and patient when referral is denied, or if additional information is needed.
• Develop and maintain database of referral physician offices preferred by each physician within the clinic.
• Assist Practice Manager with complaint resolution and solutions related to patient referrals.
• Collaborate w/ appropriate clinical staff to ensure necessary equipment is ordered, room availability/scheduled, pre-surgery medication, etc. is arranged prior to scheduled procedure.
• Communicate detailed information and triage patients' questions regarding surgery preparation instructions, arrival / departure instructions relative to procedure.
• Schedule any necessary follow-up appointments, as directed by physicians.
• Receive and screen calls relating to problems that may arise due to date changes and any reasons for cancellation.
• Escalate non-routine issues to the nursing staff, practice manager and/or physician.
• Be trained and competent in necessary EMR systems to coordinate surgical appointments
• Perform other duties within scope of practice as assigned by the practice manager or physician.

At EngageMED, we expect all our employees to live the values of Integrity, Innovation, Respect and Service at work by:

• Honoring and caring for the dignity of all persons in mind, body, and spirit
• Ensuring the highest quality of care for those we serve
• Working together as a team to achieve our goals
• Improving continuously by listening, and asking for and responding to feedback
• Seeking new and better ways to meet the needs of those we serve
• Using our resources wisely
• Understanding how each of our roles contributes to the success of CHI.

Core EngageMED Behaviors: The following behaviors have been identified as critical to all staff roles at EngageMED:

• Teamwork Orientation: works cooperatively & collaboratively with others toward the accomplishment of shared goals.
• Service Orientation: desire to serve and focus one’s efforts on discovering and meeting the needs of internal and external customers.

• Achieves Results: reflects a drive to achieve and outperform. Continuously looking for improvements. Accepts responsibility for actions and results.

• Learning and Growth: has a commitment to continuous professional and organizational learning

• Communication: practices attentive and active listening and can restate opinions of others; communicates messages in a way that has the desired effect.

Role-Specific Behaviors: these additional behaviors are necessary in the role:

• Familiar with standard concepts, practices and procedures within field.
• Demonstrate strong customer skills.
• Ability to provide clear and effective communication skills.
• Maintain a positive, caring attitude towards patients.
• Possess a strong work ethic and a high level of professionalism.
• A team player who handles multiple projects simultaneously in a fast paced environment.

Skills, Knowledge or Abilities critical to this role:

• Language Ability: Ability to read, analyze and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to common inquiries or complaints from groups of managers, clients, customers, and the general public.

• Math Ability: Ability to add, subtract, multiply and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.
• Reasoning Ability: Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
• Computer Skills: Must be proficient with the Microsoft Office Suite, Internet navigation, database management, desktop publishing, spreadsheet, and graphic presentation packages.

• Education / Accreditation / Licensure (required & preferred):

• High school diploma or equivalent required.

• Experience (required and preferred):

• 2 years related experience in a healthcare environment required.
• Surgical scheduling experience preferred

• This job description reflects assignment of essential functions, it does not prescribe or restrict the tasks that may be assigned.
• Critical features of this job are listed above. They may be subject to change at any time due to reasonable accommodation or other reasons.