National Association of Latino Healthcare Executives · 5 hours ago
Specialist, Surgery Scheduling
The National Association of Latino Healthcare Executives is seeking a Surgery Scheduling Specialist to coordinate surgical appointments and ensure efficient scheduling processes. The role involves managing surgical schedules, liaising between various healthcare practitioners, and providing high-quality customer service to patients and providers.
Health CareHospitalMedical
Responsibilities
Arranges for special needs as ordered by the physician on the surgery scheduling form (ex. equipment, techs, assists, etc)
Arranges case priority according to established guidelines for each O.R. block (example: M.D. assist cases, children and elderly, general anesthesia, and other cases
Receives cancellations from patients and physicians. Cancels all preoperative appointments. Follows the cancellation procedure for notifying physicians and appropriate departments
Schedules cases to fill cancellations for maximum utilization of surgery block
Contacts physicians, appropriate departments and outside hospitals or surgery centers who perform surgery to obtain and provide all pertinent information regarding scheduling of operations
Schedules patients for all pre-operative appointments (including Cardiology and Pulmonology clearance, pre-op education class etc
Negotiates surgery date and all prescribed appointments with patients so that these are accomplished within appropriate time frames. Gives patients special dietary instructions and preparations for tests
Mails and/or emails confirmation letter and instructions to patients in a timely manner
Contacts patients who no show for surgery and reschedules these appointments
Provides daily log of encounters worked
Schedules inpatient and outpatient surgical procedures
Uses judgment, experience, and insight to ensure that surgical cases are scheduled according to best practice standards, achieving the best possible outcome for the member. To achieve success in posting a case, must consider all aspects affecting the case i.e., surgeons time constraints and availability, surgical suite availability at multiple surgical sites, and coordination of ancillary services that may be indicated
Reviews surgical ticket to ensure that the surgical facility and anesthesia screening requirements are met. Must remain knowledgeable with the current anesthesia screening requirements and other written guidelines as they relate to age and existing medical conditions. Communicates the patients needs to the practitioner to ensure compliance
Performs pre-authorization through QRM and other systems required
Coordinates surgical assistance, both TSPMG practitioners, external practitioners, & various surgical assisting groups
Coordinates the availability of special equipment implants, vendor resources and instrumentation for the surgeon in the operating room suite
Coordinates joint cases with various surgical services both internal & external i.e., GYN, Urology, Vascular, Plastic, etc. – Schedules Stereotactic Biopsies, Ultrasound Guided Biopsies, and breast MRIs under the guidance of the Breast Care Coordinator and Breast Center Chief
Schedules sequential appointments for the member both pre and post operatively. Employs judgment and insight to ensure timeliness and coordination of the various appointments as they relate to the surgical encounter. i.e., labs, medical clearance, cardiac clearance, etc
Communicates with patient and coordinates all encounters that are required during the peri-operative period i.e., pre-op office appt., PCP/HCT pre-op testing appointment (either telephone vs. actual visit. Provides procedural instructions per departmental guidelines to include diet restrictions, medication restrictions and directions to the surgery site. Schedules post- operative appointment
Responsible for coordination of films availability at the procedure &/or surgery site, as dictated by the needs of the surgeon or site
Schedules cosmetic surgery patients, after business office has ensured payment
Responsible to ensure that correct coding is in place to achieve correct posting and billing
Documents all member communications in the electronic medical record
Cross trains to various clerical department functions
Answers incoming calls from a que line and fields questions when appropriate to other schedulers to ensure member resolution and scheduling timely
Responsible to manage their voicemail daily to respond to return calls and provide appropriate feedback to members related to surgery scheduling questions
Receive daily cancellation list and manages cancellations timely removing them from the KP system updating the surgeon and outreaching to member for cancellation reason and reschedule when appropriate
Qualification
Required
Under indirect supervision, schedules patients for surgery according to the type of surgery (urgent or routine) and the access standards and directive of scheduling provided
Ensures that the surgical encounter (outpatient vs. inpatient) is coordinated properly & is scheduled accurately and efficiently
Responsible for providing the highest quality customer service to our members, TSPMG practitioners, external practitioners, and external surgical sites through coordination of multidisciplinary facets of care, both internal and external
Responsible for the management and coordination of surgical schedules, cross-specialty schedules and availability of appropriate equipment and supplies for surgical cases
Acts as a liaison and coordinates information flow between the Specialist, PCP and Hospitalists
Responsible for data processing, diagnostic reporting, clinical information gathering, verification of coverage, QRM authorization, and completion of all other pre-operative requirements to include obtaining authorization from outside insurers for Medicaid patients using their independent authorization system
Responsible to manage incoming calls, data ques and other reporting tools to update, cancel and reschedule patients for surgery
Arranges for special needs as ordered by the physician on the surgery scheduling form (ex. equipment, techs, assists, etc)
Arranges case priority according to established guidelines for each O.R. block (example: M.D. assist cases, children and elderly, general anesthesia, and other cases
Receives cancellations from patients and physicians. Cancels all preoperative appointments. Follows the cancellation procedure for notifying physicians and appropriate departments
Schedules cases to fill cancellations for maximum utilization of surgery block
Contacts physicians, appropriate departments and outside hospitals or surgery centers who perform surgery to obtain and provide all pertinent information regarding scheduling of operations
Schedules patients for all pre-operative appointments (including Cardiology and Pulmonology clearance, pre-op education class etc
Negotiates surgery date and all prescribed appointments with patients so that these are accomplished within appropriate time frames
Gives patients special dietary instructions and preparations for tests
Mails and/or emails confirmation letter and instructions to patients in a timely manner
Contacts patients who no show for surgery and reschedules these appointments
Provides daily log of encounters worked
Schedules inpatient and outpatient surgical procedures
Uses judgment, experience, and insight to ensure that surgical cases are scheduled according to best practice standards, achieving the best possible outcome for the member
Reviews surgical ticket to ensure that the surgical facility and anesthesia screening requirements are met
Must remain knowledgeable with the current anesthesia screening requirements and other written guidelines as they relate to age and existing medical conditions
Communicates the patients needs to the practitioner to ensure compliance
Performs pre-authorization through QRM and other systems required
Coordinates surgical assistance, both TSPMG practitioners, external practitioners, & various surgical assisting groups
Coordinates the availability of special equipment implants, vendor resources and instrumentation for the surgeon in the operating room suite
Coordinates joint cases with various surgical services both internal & external i.e., GYN, Urology, Vascular, Plastic, etc
Schedules sequential appointments for the member both pre and post operatively
Employs judgment and insight to ensure timeliness and coordination of the various appointments as they relate to the surgical encounter
Communicates with patient and coordinates all encounters that are required during the peri-operative period
Provides procedural instructions per departmental guidelines to include diet restrictions, medication restrictions and directions to the surgery site
Schedules post-operative appointment
Responsible for coordination of films availability at the procedure &/or surgery site, as dictated by the needs of the surgeon or site
Schedules cosmetic surgery patients, after business office has ensured payment
Responsible to ensure that correct coding is in place to achieve correct posting and billing
Documents all member communications in the electronic medical record
Cross trains to various clerical department functions
Answers incoming calls from a que line and fields questions when appropriate to other schedulers to ensure member resolution and scheduling timely
Responsible to manage their voicemail daily to respond to return calls and provide appropriate feedback to members related to surgery scheduling questions
Receive daily cancellation list and manages cancellations timely removing them from the KP system updating the surgeon and outreaching to member for cancellation reason and reschedule when appropriate
Company
National Association of Latino Healthcare Executives
The National Association of Latino Healthcare Executives is a hospital and healthcare organization.