Surgery Scheduler/Biller

• Granger, IN
• South Bend Specialty Surgery Center
• Beacon Health System
• Full-time - Day - Monday-Friday rotating 545-215,7-330 and 830-5
• Req #: 213341
Posted: July 31, 2024-->

Summary

Completes all processes related to the scheduling of surgical procedures including pre-operative testing, office visits and post-operative care. Greets patients, answers calls and performs other office tasks as needed. Ensures that world class service is provided at all times.

MISSION, VALUES and SERVICE GOALS

• MISSION:We deliver outstanding care, inspire health, and connect with heart.
• VALUES:Trust. Respect. Integrity. Compassion.
• SERVICE GOALS:Personally connect. Keep everyone informed. Be on their team.

Performs surgery and procedure scheduling duties according to established policies and procedures following provider instructions by:

• Preparing surgery schedules and ensuring that corrections, if necessary, are handled in a timely, efficient manner.
• Interpreting physician orders and scheduling procedures accordingly.
• Scheduling all surgery related appointments.
• Following multiple surgeon protocols for pending surgery cases.
• Ensuring that all equipment (including special equipment) supplies and implant requests are handled according to departmental policies and procedures.
• Completing the surgical order process.
• Organizing records for surgery and preparing surgery packet.
• Remaining knowledgeable and compliant with insurance carrier guidelines.
• Ensuring pre-certification guidelines have been met for surgical procedures.
• Ensuring medical necessity is documented by complying with scheduling criteria for all insurance carriers.
• Answers all incoming calls and transfer accordingly.
• Filing of all medical charts.
• Takes cash deposits to the bank as needed.
• Keep track of no shows or same day cancels and enters into log book.
• Signs for all deliveries.
• Calls for FedEx express to pick up any items.
• Calls for toner/repairs for multi-function device.
• Checks patients in and collect any payments due to facility.
• Receives all orders for surgical cases/marries up any orders with the H&P for chart prep.
• Enters the surgical cases on the Vision software.
• Runs Clariti software for insurance benefits, estimates patient portion, sends text of amount due and then follow-up with a phone call for any patient questions.
• Phone calls to insurance companies is the Clariti system could not pull the benefits
• Prints dictation/Op notes from Medtek for physicians and fax to the office from the prior day.
• Keeps track of vendors Flu, Covid and TB requirements.
• Verifies schedule the day before with offices for accuracy.
• Prepares charts for the next day surgical cases.
• Prepares billing packet for billers and scans to the shared folder for the billing company and puts charts back together and places them in the physician section for signature.

Contributes to the overall effectiveness and efficiency of the office by:

• Receiving and greeting all patients, families and staff members in a professional manner and providing all reasonable assistance.
• Receiving telephone calls, taking and relaying messages accurately.
• Providing assistance with phone calls, patient messages.
• Obtaining pathology results from fax and directly and forwarding them the results to the necessary providers.
• Acting as a mentor to other team members and willingly providing ongoing guidance and assistance.

Performs other functions to maintain personal competence and contribute to the overall effectiveness of the department by:

• Building and maintaining effective working relationships with Offices, departments, facilities and vendors.
• Interacting in a positive, pro-active and cooperative manner with other team members, patients and Physicians (and their office staff) when providing information, seeking assistance or clarification and resolving problems.
• Assisting the department to meet or exceed its quality assurance goals.
• Acting as a representative of South Bend Specialty Surgery Center and striving to make a good first impression.
• Communicating with the Director and Charge Nurse regarding any concerns or problems in a timely manner.
• Maintaining records, reports and files as required by departmental policies and procedures.
• Participating on committees as requested.
• Maintains and presents a positive customer service image at all times.
• Completing other job-related duties and projects as assigned.

ORGANIZATIONAL RESPONSIBILITIES

Associate complies with the following organizational requirements:

• Attends and participates in department meetings and is accountable for all information shared.
• Completes mandatory education, annual competencies and department specific education within established timeframes.
• Completes annual employee health requirements within established timeframes.
• Maintains license/certification, registration in good standing throughout fiscal year.
• Direct patient care providers are required to maintain current BCLS (CPR) and other certifications as required by position/department.
• Consistently utilizes appropriate universal precautions, protective equipment, and ergonomic techniques to protect patient and self.
• Adheres to regulatory agency requirements, survey process and compliance.
• Complies with established organization and department policies.
• Available to work overtime in addition to working additional or other shifts and schedules when required.

Commitment to Beacon's six-point Operating System, referred to as The Beacon Way:

• Leverage innovation everywhere.
• Cultivate human talent.
• Embrace performance improvement.
• Build greatness through accountability.
• Use information to improve and advance.
• Communicate clearly and continuously.

Education and Experience

• The knowledge, skills and abilities as indicated below are acquired through the successful completion of a high school diploma or equivalentis preferred.Must be a minimum of 17 years of age. Previous experience in a healthcare/clinical environment, admitting department, physician office practice or scheduling office is preferred. Familiarity with health record coding and various insurance plans is preferred. Knowledge of medical terminology is required, or a course must be successfully completed during the first year of employment.

Knowledge & Skills

• Requires an understanding of registration and pre-registration processes and the clinical requirements of various medical procedures.
• Requires a basic knowledge of medical terminology, CPT and ICD codes, which includes being able to identify LMRP procedures and check for medical necessity.
• Demonstrates proficient computer skills. Also requires basic office and keyboarding skills and the use of multiple databases.
• Requires the verbal communication skills necessary to communicate in a clear and effective manner when answering patients' questions and communicating with other departments.
• Demonstrates the interpersonal skills necessary to interact effectively with patients from various backgrounds in a professional, enthusiastic, courteous, friendly, caring and sincere manner. Also demonstrates the ability to gain the support of and maintain effective working relationships with other departments, physicians and their office staff.
• Requires good telephone and listening skills. Sensitivity to individuals who do not speak English as their first language is expected.
• Requires the ability to strictly follow all policies regarding HIPAA guidelines.
• Requires organizational skills, the ability to pay close attention to details and the ability to problem solve.

Working Conditions

• Works in a clinical office environment with potential exposure to physical, chemical, and biohazards.

Physical Demands

• Requires the physical ability and stamina (i.e., to walk moderate distances, climb stairs, lift up to 15 pounds, reach, bend, stoop, twist, etc.) to perform the essential functions of this position.