What are the responsibilities and job description for the Scheduler/Insurance Specialist position at St?
1. Considers priorities and special needs when scheduling preoperative appointments and surgical procedures.
A. Schedules appointments and procedures according to policies on nursing and anesthesia staff availability, patient needs and physician's block time. Must accurately enter all patient demographic and procedure info.
B. Coordinates surgical preoperative appointment schedule with clinical preoperative activities.
C. Edits, adds to, and cancels procedures on schedule according to procedure and physician's time and staffing requirements. Identifies conflicts and adjusts schedule as needed.
D. Prepares surgery schedule for review by the Clinical Lead so that adjustments may be made as required.
2. Verifies Insurance Benefits for Patients and generates Pre-procedure Estimates to comply with the No Surprise Billing Act.
A. Navigates several different insurance portals and websites to verify patients can be treated at our facility.
B. Obtains prior authorizations and certifications to ensure specific procedures are approved by insurance and there are covered benefits.
C. Uses the information provided to generate Pre-Estimates on services at our facility to give to the patient and other Revenue Cycle team members.
