40388BR

Extended Job Title:

Surgery Scheduler-ELP

Org Level 1:

Texas Tech Unv Hlth Sci Ctr El Paso

Position Description:

Under limited supervision, performs a wide range of surgical scheduling duties for procedures requiring anesthesia. The

surgical scheduler is required to initiate the insurance authorization process, schedule pre-admission testing and clearance appointments, and schedule appropriate surgical procedures with the appropriate facility.

Requisition ID:

40388BR

Optional Attachments:

Transcript

Travel Required:

Up to 25%

Major/Essential Functions:

• Handle authorization process and obtain pre-certification approvals prior to service.

• Submit pre-authorization requests and follow up with payer to ensure timely approvals. Update resident providers and supervising faculty of delays related to pre-authorization.

• Assist providers with treatment plan assessment to determine if pre-authorization is required.

• Assist in the development and maintenance of a standardized workflow for the pre-authorization process.

• Provide instruction and guidelines on coding and pre-authorization processes to faculty, residents and staff.

• Assist in the preparation and submission of appeals for denied authorizations, including but not limited to providing additional information or documentation.

• Respond and follow-up to patient and insurance inquiries/correspondence in a timely manner and in accordance with departmental expectations/requirements.

• Provide leadership team with regular status updates on authorization and denials.

• Maintain accurate records and reports of pre-certifications request, approvals, and denials.

• Review assigned electronic health record (EHR) Work Queue’s to ensure all errors are cleared and billing has been submitted in a timely manner, and in accordance with departmental expectations/requirements.

• Stay current with changes in coding guidelines, regulations and insurance requirements.

• Assess and monitor Medicaid/CHIP billing guidelines and regulations while partnering with the Office of Institutional Compliance on corrective action plans related to billing compliance.

• Collaborate with revenue cycle team via weekly, biweekly, and/or monthly meetings (as directed) to review payment and denial trends.

• Collaborate with members of clinic administration on process improvement to help optimize the pre-authorization processes in the clinics. Communicate with patients regarding authorization requirements, status updates and financial responsibilities associated with approved or pending authorizations. Serve as a liaison between clinical providers and insurance payers to address authorization-related issues or inquiries effectively. Escalate matters of concern to leadership in accordance with departmental expectations/requirements.

• Perform all other duties as assigned. Adhere to all TTUHSCEP policies, procedures and processes.

• Personally demonstrate, display, and act in accordance with TTUHSCEP’s values (Service, Respect, Accountability, Integrity, Advancement, and Teamwork). Actively promote and encourage staff across the institution.

• Perform all other duties as assigned.

Grant Funded?:

No

Minimum Hire Rate:

Compensation is commensurate upon the qualifications of the individual

Pay Basis:

Hourly

Work Location:

El Paso

Preferred Qualifications:

• Knowledge of Texas Tech Health of El Paso EMR system.

• Experience with surgical scheduling procedures, surgery authorization processes, and hospital admission policies/procedures.

• Excellent interpersonal and communication skills with the ability to effectively interact with patients and families, providers, and internal and external customers.

• Knowledge of medical terminology. MS Office proficiency (Word, Excel and Outlook).

Campus:

HSC - El Paso

Department:

Clinical Operations IM

Required Attachments:

Resume / CV

Job Type:

Full Time

Pay Statement:

cselected and budgetary guidelines of the hiring department, as well as the institutional pay plan. For additional information, please reference the institutional pay plan website (https://app4.ttuhsc.edu/payplan/) .

Job Group:

Senior Other Administrative

Shift:

Day

EEO Statement:

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, national origin, age, disability, genetic information or status as a protected veteran.

Required Qualifications:

• Associates degree plus 6 months of surgery scheduling experience; OR

• High school diploma or GED plus two (2) years of surgery scheduling experience.

Does this position work in a research laboratory?:

No

Jeanne Clery Act:

The Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act is a federal statute requiring colleges and universities participating in federal financial aid programs to maintain and disclose campus crime statistics and security information. By October 1 of each year, institutions must publish and distribute their Annual Campus Security Policy & Crime Statistics Report (ASR) to current and prospective students and employees. To view this report, visit the TTUHSC Clery Act website (https://www.ttuhsc.edu/emergency/clery-report.aspx) .