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Penn Medicine, University of Pennsylvania Health System · 2 days ago

Surgical Scheduling Specialist

Plainsboro, NJ

Full-time

Onsite

Entry, Mid Level

$17.75/hr - $28.33/hr

2+ years exp

Penn Medicine is dedicated to providing the highest level of care, conducting innovative research, and educating future leaders in medicine. The Surgical Scheduling Specialist is responsible for scheduling surgical procedures, ensuring the collection of appropriate clinical coding and insurance information, and maintaining communication with various departments regarding schedule changes.

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Responsibilities

Schedules surgeries and pre-admission testing in scheduling system

Answers inbound telephone calls, retrieve messages, faxes and emails in a professional, timely and efficient manner per department protocol

Follows all prescribed PennChart searches, including 3-3 search and screening for any other Date of Service appointments

Reviews or collects demographic, insurance, and clinical information to establish completeness and accuracy of data as per protocol. Enters data into appropriate fields within the scheduling system and attaches any clinical information such as a booking sheet to the case

Moves/cancels visits based on physician and/or patient availability issues

In addition, may coordinate additional resources such as extra staffing, equipment and supplies

Confirms and coordinates the scheduled surgeries the day prior to procedure

Ensures all insurance information is entered correctly and is active at the time of scheduling

Utilizes on-line verification system(s) or places phone call to insurance company prior to the procedure. In addition, making sure all necessary referrals, authorizations and/or pre-certifications are in place prior to patient's scheduled appointment on emergent cases

Utilizes scheduling system to prioritize workload based on service, date, and insurance company requirements

Review applicable worklists within scheduling system to identify any additional information required to complete the case

Must pass and stay current with all Penn Medicine’s educational requirements. Keeps current on CPT/HCPS coding methodologies to accurately identify procedure codes needing authorization

Maintains working knowledge of Penn Medicine’s insurance verification tools, including insurance guidelines

Understands ICD-10 coding methodologies to accurately identify diagnosis codes to support medical necessity. Maintains working knowledge of Medical Necessity requirements for commercial and governmental payers

Promote Teamwork both internally and externally across all department lines.Works in collaboration with other departmental associates as well as other hospital associates supporting their efforts though teamwork and the acceptance of additional assignments

Accepts responsibility for own actions, while taking ownership of departmental outcomes

Maintains a strong working relationship with physicians and departments at Penn Medicine to ensure maximum communication and coordination of service

Supports the Performance Improvement goals of the department

Collaborates with other staff, within and outside the department, to develop means of enhancing patient care and service

Take initiative to resolve accounts with and without supervision. Works toward department goals and visions as an individual and Team Member

Maintains confidentiality of patient information in accordance with Penn Medicine Policies.Understands how applicable laws, regulations, policies and procedures impact specific job responsibilities and functions. Demonstrates actions to reasonable prevent, detect and report unethical and unlawful business practice

Familiarity with the general usage and spelling for specific medical terminology. Collaborates with various areas of the Penn Medicine Team to increase cash by decreasing denials

Qualification

Surgical SchedulingInsurance VerificationCPT/HCPCS CodingICD-10 CodingMedical TerminologyTeamworkCommunication

Required

H.S. Diploma/GED (Required)

Minimum two years' hospital or physician office registration and scheduling or medically related call center (Required)

Work experience in the health care sector that exposes the candidate to medical terminologies, diagnostic procedures, and health care billing and authorization (Required)

Benefits

Prepaid tuition assistance programs

Company

Penn Medicine, University of Pennsylvania Health System

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Penn Medicine is a world leader in academic medicine, setting the standard for cutting-edge research, compassionate patient care, and the education of future health care professionals.

Founded in 1765

Philadelphia, Pennsylvania, USA

10001+ employees