Specialist, Surgery Scheduling

Kaiser Permanente

Atlanta, GA

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JOB DETAILS

SKILLS

Anesthesiology, Best Practices, Billing, Calendar Management, Candidate Screening, Cardiology, Clinical Information, Clinical Laboratory, Clinical Medicine, Current Procedural Terminology (CPT), Customer Relations, Customer Service Evaluation, Customer Support/Service, Data Processing, Electronic Medical Records, Establish Priorities, Federal Laws and Regulations, High School Diploma, Hospital, ICD-9, Implants, Instrumentation, Licensed Practical Nurse/Licensed Vocational Nurse, Maintain Compliance, Medicaid, Medical Conditions, Medical Terminology, Medications, Multitasking, Organizational Skills, Patient Care, Patient Education, Presentation/Verbal Skills, Software Administration, Special Needs, State Laws and Regulations, Surgical Procedures, Surgical Supplies, Systems Maintenance, Telephone Skills, Time Management, Training Program, Ultrasound, Urology, Voice Mail, Writing Skills

LOCATION

Atlanta, GA

POSTED

9 days ago

Job Summary: Under indirect supervision, schedules patients for surgery according to the type of surgery (urgent or routine) and the access standards and directive of scheduling provided. The Surgery Scheduling Coordinator ensures that the surgical encounter (outpatient vs. inpatient) is coordinated properly & is scheduled accurately and efficiently. Responsible for providing the highest quality customer service to our members, TSPMG practitioners, external practitioners, and external surgical sites through coordination of multidisciplinary facets of care, both internal and external. Responsible for the management and coordination of surgical schedules, cross-specialty schedules and availability of appropriate equipment and supplies for surgical cases. Acts as a liaison and coordinates information flow between the Specialist, PCP and Hospitalists. Responsible for data processing, diagnostic reporting, clinical information gathering, verification of coverage, QRM authorization, and completion of all other pre-operative requirements to include obtaining authorization from outside insurers for Medicaid patients using their independent authorization system. Responsible to manage incoming calls, data ques and other reporting tools to update, cancel and reschedule patients for surgery. Essential Responsibilities: + Arranges for special needs as ordered by the physician on the surgery scheduling form (ex. equipment, techs, assists, etc). + Arranges case priority according to established guidelines for each O.R. block (example: M.D. assist cases, children and elderly, general anesthesia, and other cases. + Receives cancellations from patients and physicians. Cancels all preoperative appointments. Follows the cancellation procedure for notifying physicians and appropriate departments. + Schedules cases to fill cancellations for maximum utilization of surgery block. + Contacts physicians, appropriate departments and outside hospitals or surgery centers who perform surgery to obtain and provide all pertinent information regarding scheduling of operations. + Schedules patients for all pre-operative appointments (including Cardiology and Pulmonology clearance, pre-op education class etc. + Negotiates surgery date and all prescribed appointments with patients so that these are accomplished within appropriate time frames. Gives patients special dietary instructions and preparations for tests. + Mails and/or emails confirmation letter and instructions to patients in a timely manner. + Contacts patients who no show for surgery and reschedules these appointments. + Provides daily log of encounters worked. + Schedules inpatient and outpatient surgical procedures. + Uses judgment, experience, and insight to ensure that surgical cases are scheduled according to best practice standards, achieving the best possible outcome for the member. To achieve success in posting a case, must consider all aspects affecting the case i.e., surgeons time constraints and availability, surgical suite availability at multiple surgical sites, and coordination of ancillary services that may be indicated. + Reviews surgical ticket to ensure that the surgical facility and anesthesia screening requirements are met. Must remain knowledgeable with the current anesthesia screening requirements and other written guidelines as they relate to age and existing medical conditions. Communicates the patients needs to the practitioner to ensure compliance. + Performs pre-authorization through QRM and other systems required. + Coordinates surgical assistance, both TSPMG practitioners, external practitioners, & various surgical assisting groups. + Coordinates the availability of special equipment implants, vendor resources and instrumentation for the surgeon in the operating room suite. + Coordinates joint cases with various surgical services both internal & external i.e., GYN, Urology, Vascular, Plastic, etc. - Schedules Stereotactic Biopsies, Ultrasound Guided Biopsies, and breast MRIs under the guidance of the Breast Care Coordinator and Breast Center Chief. + Schedules sequential appointments for the member both pre and post operatively. Employs judgment and insight to ensure timeliness and coordination of the various appointments as they relate to the surgical encounter. i.e., labs, medical clearance, cardiac clearance, etc. + Communicates with patient and coordinates all encounters that are required during the peri-operative period i.e., pre-op office appt., PCP/HCT pre-op testing appointment (either telephone vs. actual visit. Provides procedural instructions per departmental guidelines to include diet restrictions, medication restrictions and directions to the surgery site. Schedules post- operative appointment. + Responsible for coordination of films availability at the procedure &/or surgery site, as dictated by the needs of the surgeon or site. + Schedules cosmetic surgery patients, after business office has ensured payment. + Responsible to ensure that correct coding is in place to achieve correct posting and billing. + Documents all member communications in the electronic medical record. + Cross trains to various clerical department functions. + Answers incoming calls from a que line and fields questions when appropriate to other schedulers to ensure member resolution and scheduling timely + Responsible to manage their voicemail daily to respond to return calls and provide appropriate feedback to members related to surgery scheduling questions + Receive daily cancellation list and manages cancellations timely removing them from the KP system updating the surgeon and outreaching to member for cancellation reason and reschedule when appropriate. Basic Qualifications: Experience + Minimum three (3) years of experience for appointment or surgery scheduling or related clinical experience (MA, LPN, Surgical technician). Education + High School Diploma or General Education Development (GED) required. License, Certification, Registration + N/A Additional Requirements: + Demonstrated knowledge of Medical terminology. + Knowledge of ICD9/CPT coding. + Ability to prioritize responsibilities. + Ability to handle multiple tasks simultaneously. + Dependability with punctuality & attendance. + Ability to build and sustain excellent relationships with members, their families, fellow staff members. + Ability to develop and maintain excellent relationship with internal and external customers. + Customer service aptitude demonstrated through the Customer Service Assessment. + Customer service experience. + Clinical background experience. + Demonstrates high level of proficiency in the following software packages of equivalent: Microsft Office, OpTime, Epic Possesses. + Effective written and verbal communications skills; good interpersonal skills including tact courtesy, and flexibility; ability to function and effectively as a team member. + Ability to organize and prioritize work to meet deadlines and schedules using impendent judgment. Preferred Qualifications: + Medical terminology experience preferred. + Graduate from formal training program as MA,LPN, or Surgical Technician preferred. COMPANY: KAISER TITLE: Specialist, Surgery Scheduling LOCATION: Atlanta, Georgia REQNUMBER: 1428764 External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.

About the Company

Kaiser Permanente

At Kaiser Permanente, we are relentless in our pursuit of excellence. Driven by our mission to provide the highest quality preventive medicine, we are committed to eliminating health care disparities, and to making lives better through innovation, technology, and research. Our desire to deliver the best possible care inspires us to promote wellness among our members, communities, and each other. It also fuels our belief that everyone — regardless of circumstance — deserves access to affordable care, which further drives our motivation to expand our reach. Founded nearly 80 years ago, our unique business model sets us apart — positioning us to drive improvements across the industry and around the world.

COMPANY SIZE

10,000 employees or more

INDUSTRY

Healthcare Services

FOUNDED

1945

WEBSITE

http://www.kp.org/careers