Address
Form of workSurgical Scheduler - ENT
Baltimore, MD
MUST:
Experienced Surgical Scheduler - ENT
2+ years of experience as a Surgical Scheduler
2+ years of experience working in a medical office
Working knowledge of payer requirements for referrals and preauthorization
Knowledge of IDX or similar computerized billing system
Knowledge of ICD-9 and CPT coding
General understanding of back-office operations
Accurate data entry skills
Strong customer service skills
Ability to read, analyze, and interpret documents
Ability to effectively present information and respond to questions from managers, patients, and staff
Ability to write reports and memos
Ability to clearly communicate and apply policies and principles to solve every-day problems and deal with a variety of situations
Ability to plan, exercise initiative, problem-solving, decision-making
Ability to read, interpret, and apply clinic policies and procedures
Ability to identify problems and recommend solutions
Ability to establish priorities and coordinate work activities
High school diploma or general education degree
DUTIES:
Under general supervision, schedules all division surgeries and incidental testing.
Ensures that all primary care referrals are handled according to practice and payer guidelines.
Ensures that referral and preauthorization activities are undertaken to provide maximum patient and provider satisfaction and maximum reimbursement.
Schedules surgical cases daily following specified clinical and time allocation guidelines via automated scheduling systems through telephone contact with physicians offices, fax, website retrieval, or personally with the physician and/or resident; uses manual systems in the event of automated system downtime.
Interprets clinical requirements to effectively manipulate the schedule continually to achieve optimum placement of cases, customer satisfaction, and accurate patient charging.
Collaborates daily with the appropriate Nursing personnel and respective staff to coordinate surgical schedule to provide optimum use of the operating rooms and facilities.
Proactively communicates with the appropriate staff regarding special requests for personnel, equipment, and facilities; scheduling conflicts arising from resource requests are resolved with management staff to ensure resource availability and optimum use of the facilities before finalizing schedules.
Ensures that patient demographic and clinical data on newly scheduled cases or changes to existing scheduled cases is communicated to Patient Registration.
Maintains Inactive Physicians information within the appropriate information system to ensure scheduling according to medical center protocol.
Generates surgical schedules for all areas daily and ensures delivery via fax or email to designated locations/offices.
Performs post-operative entry of clinical, supply and billing information into the appropriate information system and/or directly in the event of system downtime or emergency.
Performs daily data validity audit to ensure quality, accuracy, and completion of all required data within the appropriate information system.
Assists in performing daily patient charge reconciliation audit to ensure accuracy of charge data submitted to patient accounts for surgical patients.
Maintains historical scheduling data according to protocol.
Uses the electronic medical record as documented in the department and/or standard operating procedure and processes.
Completes mandatory employee health, workers compensation, HR processes, and other training and requirements in required time frame to ensure compliance with all rules and regulations.
Anticipate the needs and exceed the expectations of our patients and others that we serve.
Accept individual responsibility for conducting ourselves in an honest and ethical manner.
Take the initiative to explore creative ways to improve the quality of care for our patients and those we serve.
Value individual and cultural differences by showing care and concern for all.
Other duties as assigned.
*Quadrant, Inc. is an equal opportunity and affirmative action employer. Quadrant is committed to administering all employment and personnel actions on the basis of merit and free of discrimination based on race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or status as an individual with a disability. Consistent with this commitment, we are dedicated to the employment and advancement of qualified minorities, women, individuals with disabilities, protected veterans, persons of all ethnic backgrounds and religions according to their abilities.
Baltimore, MD
MUST:
Experienced Surgical Scheduler - ENT
2+ years of experience as a Surgical Scheduler
2+ years of experience working in a medical office
Working knowledge of payer requirements for referrals and preauthorization
Knowledge of IDX or similar computerized billing system
Knowledge of ICD-9 and CPT coding
General understanding of back-office operations
Accurate data entry skills
Strong customer service skills
Ability to read, analyze, and interpret documents
Ability to effectively present information and respond to questions from managers, patients, and staff
Ability to write reports and memos
Ability to clearly communicate and apply policies and principles to solve every-day problems and deal with a variety of situations
Ability to plan, exercise initiative, problem-solving, decision-making
Ability to read, interpret, and apply clinic policies and procedures
Ability to identify problems and recommend solutions
Ability to establish priorities and coordinate work activities
High school diploma or general education degree
DUTIES:
Under general supervision, schedules all division surgeries and incidental testing.
Ensures that all primary care referrals are handled according to practice and payer guidelines.
Ensures that referral and preauthorization activities are undertaken to provide maximum patient and provider satisfaction and maximum reimbursement.
Schedules surgical cases daily following specified clinical and time allocation guidelines via automated scheduling systems through telephone contact with physicians offices, fax, website retrieval, or personally with the physician and/or resident; uses manual systems in the event of automated system downtime.
Interprets clinical requirements to effectively manipulate the schedule continually to achieve optimum placement of cases, customer satisfaction, and accurate patient charging.
Collaborates daily with the appropriate Nursing personnel and respective staff to coordinate surgical schedule to provide optimum use of the operating rooms and facilities.
Proactively communicates with the appropriate staff regarding special requests for personnel, equipment, and facilities; scheduling conflicts arising from resource requests are resolved with management staff to ensure resource availability and optimum use of the facilities before finalizing schedules.
Ensures that patient demographic and clinical data on newly scheduled cases or changes to existing scheduled cases is communicated to Patient Registration.
Maintains Inactive Physicians information within the appropriate information system to ensure scheduling according to medical center protocol.
Generates surgical schedules for all areas daily and ensures delivery via fax or email to designated locations/offices.
Performs post-operative entry of clinical, supply and billing information into the appropriate information system and/or directly in the event of system downtime or emergency.
Performs daily data validity audit to ensure quality, accuracy, and completion of all required data within the appropriate information system.
Assists in performing daily patient charge reconciliation audit to ensure accuracy of charge data submitted to patient accounts for surgical patients.
Maintains historical scheduling data according to protocol.
Uses the electronic medical record as documented in the department and/or standard operating procedure and processes.
Completes mandatory employee health, workers compensation, HR processes, and other training and requirements in required time frame to ensure compliance with all rules and regulations.
Anticipate the needs and exceed the expectations of our patients and others that we serve.
Accept individual responsibility for conducting ourselves in an honest and ethical manner.
Take the initiative to explore creative ways to improve the quality of care for our patients and those we serve.
Value individual and cultural differences by showing care and concern for all.
Other duties as assigned.
*Quadrant, Inc. is an equal opportunity and affirmative action employer. Quadrant is committed to administering all employment and personnel actions on the basis of merit and free of discrimination based on race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or status as an individual with a disability. Consistent with this commitment, we are dedicated to the employment and advancement of qualified minorities, women, individuals with disabilities, protected veterans, persons of all ethnic backgrounds and religions according to their abilities.
