What are the responsibilities and job description for the Scheduler position at Rush Copley Medical Center?
Position Performance Area / Expectations :
Scheduler Activities
- Receives order via workqueue once insurance is verified.
- Fills out surgery data sheet.
- Calls patient to pick surgery date. Facility determined by insurance.
- Patients are to be called within 3 days of being seen.
- Goes over instructions with the patient.
- Enter information into scheduling book / Epic
- Enters surgery order detail within EMR Open Case.
- Order and confirm all equipment needed for case and any surgical assistants.
- Mail patient written instruction sheets
- Put all information together and make into packet and file until after surgery.
- Fill out and fax to PCP / specialist History and Physical Request Form via Rightfax
- Inform and mail flyer for any total joint or spine case about R.C. pre-op class and MRSA screening.
- Schedule surgeries and register patient in EHR.
- Keep track of provider schedules.
Authorization / Benefits Key Responsibilities :
Verifies and obtains authorizations as required by insurance companies dependent upon the plan coverage for all patients.
Works and manages authorization work queues in Epic.
- Coordinates with Patient Services Representative to obtain needed information and provides timely communication to the clinic and treating clinician regarding lapses or denials for authorization.
- Depending on assignment by Practice Manager, provides authorizations for physician, diagnostic, therapy and / or surgical services.
Authorizations may include all insurances including workers compensation coordination and management.
- Researches benefits and referral requirements for unique situations and procedures at the provider’s request
- Verifying patient eligibility prior to appointments as necessary
- Verifies benefits for specific patients, services, or procedures that are not verified during the pre-registration process
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Last updated : 2024-07-10