Surgery Scheduler - Aspire Allergy & Sinus

Description

Key Responsibilities

• Discussing with patient estimated patient responsibility via telephone - their responsibility and procedure cost information obtained from insurance benefit verification and payment options determined with procedure cost template. Must have a friendly attitude with patients on the phone.
• Assess and track patient’s hesitancy for scheduling and/or cancelations reasons and implement consultative selling skills to retain (20%) & obtain (80%) appointments.
• Receive and process procedure order forms submitted by internal providers after surgery consults via patient chart in EMR.
• Verify patient insurance benefits and patient cost estimates.
• Communicate with insurance carriers using proper procedure CPT and diagnosis codes for specific procedure(s) ordered by provider.
• Obtain prior authorizations from insurance carriers and relay such authorizations (or denials) to the patient and document into patient chart in EMR and procedure tracking spreadsheets.
• Calculate procedure cost estimates using appropriate fee schedules.
• Collecting surgical out of pocket cost estimates and set up payment plans when needed. 
• Professional communication with providers and/or anesthesia groups.
• Resolve pre-authorization, registration or other referral related issues prior to a patient's appointment.
• Communicate to the patient surgical information, all necessary preparation. I.e.: procedure date, arrival time, pre and post op directions to prep the patient.
• Demonstrates an understanding of patient confidentiality to protect the patient and clinic.
• Follows policies and procedures to contribute to the efficiency of the surgery scheduling position while following HIPAA guidelines.
• Assists Accounts Receivable team with resolving rejected, incorrectly paid, and/or denied claims.
• Work to collect payment on outstanding procedure balances.
• Organize and work with others to maintain patient files.

Skills, Knowledge & Expertise

• Spanish speaking is a plus 
• Must have great attention to detail
• Knowledge of medical terminology
• Ability to demonstrate exceptional customer service skills
• Ability to finish assigned duties in a timely manner, with minimal supervision
• Self-starter, motivated to complete additional duties when time allows
• Ability to handle confidential and sensitive patient information
• Ability to communicate effectively on the telephone
• Ability to work well with others and responds cooperatively to supervision and feedback

• At least 2 years of experience as a surgery scheduler
• At least 2 years of customer service experience, in related field 
• High School Diploma or higher

Benefits & Perks

• Monthly Bonus opportunity 
• Medical, Dental and Vision Insurance
• Generous Paid Time Off and Paid Holidays
• 1 Half-Day a Week
• 401(k) + Generous Employer Match
• Life Insurance
• Events & Parties
• Parking Onsite