Southern Indiana ENT
Location
Columbus, IN | United States
Job description
SURGICAL SCHEDULING SPECIALIST
Our highly professional Surgical Scheduling Specialist is responsible for scheduling coordination, pre-certification, and patient support/communication for ENT surgical services. A successful candidate has a high proficiency for prioritization, emotional intelligence, and a high level of customer service skills.
This position is Monday-Friday 7AM-4PM at our Columbus practice and provides support to our Southern Indiana ENT Providers.
This position reports to the Practice Administrator.
PRIMARY RESPONSIBILITIES
· Receive orders for surgery and schedule appropriately.
o Obtain all clinical clearance at least 14 days prior to surgery:
o Communicate supply needs to the hospital and ensure specialty equipment is available for surgery.
o Communicate plan limitations or non-covered services with ordering physician and patient.
· Be a resource to patients to answer questions about surgery, postoperative care, and other queries.
· Be a resource for clinical staff including Triage and the Medical Assistant Team with questions related to surgery.
· Work directly with the insurance companies, Southern Indiana ENT staff/providers, and external referring staff/providers to ensure an efficient authorization process.
· Monitor daily schedules and inbound procedure orders to begin prior authorization.
· Accurately verify patient insurance/benefits before beginning prior authorization.
· Monitor prior authorization from initiation to completion:
o Submits all ordered CPT and ICD-10 diagnosis codes.
o Submit necessary clinical information, coordinate peer-to-peer calls, and appeals denied authorizations.
o Once approved, alert the patients and providers, and documents status on EMR appointment.
o Record prior authorization/reference numbers in the EMR for billing department.
o Review denied claims and proactively work with billing to identify processing issues and errors.
· Answer, screen, respond, and rout phone queries in addition to checking voicemails, telephone encounters, faxes, and other inbound communication.
· Cooperate and maintain good rapport with admin staff, medical staff, other departments, and visitors.
· Maintain a professional approach with confidentiality regarding all patient information.
· Perform other selected administrative duties as directed by physicians or Practice Administrator.
REQUIRED QUALIFICATIONS
· Two years of medical insurance verification and authorization experience.
· Excellent organizational skills and attention to detail.
· Excellent verbal and written communication, and interpersonal skills.
· Excellent time management skills.
· Strong analytical and problem-solving skills.
· Must exhibit and promote a high level of customer service, hospitality, curiosity and friendliness towards all patients, employees, and the overall facility.
· Proficiency in completing pre-authorizations via insurance web sites.
· Proficiency with PC-based computer skills
·Microsoft Office Suite
·Athena
·Enterprise
SUPERVISORY RESPONSIBILITY
This position does not have supervisory responsibility.
CERTIFICATES, LICENSES, REGISTRATIONS
All employees are required to provide proof of vaccination or exemption.
ENT is a drug-free environment and an Equal Opportunity Employer. We offer competitive salaries and benefits, including medical/dental, life and disability coverage, generous vision benefits, a 401 (k) plan with a match, vacation time, and weekends and major holidays off.
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