Description

Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.

Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?

Summary:

• Surgical Scheduling Specialist schedules all surgical procedures, associated pre-admission testing and assures that all of the appropriate clinical coding and insurance information is collected for the surgical procedure. Receives requests to schedule procedures from physician offices electronically or via booking slip and schedules the procedure according to established guidelines. Provides accurate and timely information so that all departments may view the schedule daily and maintains open communication with hospital departments and physician offices regarding schedule changes etc.

Responsibilities:

• Scheduling and Pre-Registration - Schedules surgeries and pre-admission testing in scheduling system. Answers inbound telephone calls, retrieve messages, faxes and emails in a professional, timely and efficient manner per department protocol. Follows all prescribed PennChart searches, including 3-3 search and screening for any other Date of Service appointments. Reviews or collects demographic, insurance, and clinical information to establish completeness and accuracy of data as per protocol. Enters data into appropriate fields within the scheduling system and attaches any clinical information such as a booking sheet to the case. Moves/ cancels visits based on physician and/or patient availability issues. In addition, may coordinate additional resources such as extra staffing, equipment and supplies. Confirms and coordinates the scheduled surgeries the day prior to procedure with the surgeon’s offices. Insurance Verification and Medical Necessity - Ensures all insurance information is entered correctly and is active at the time of scheduling. Utilizes on-line verification system(s) or places phone call to insurance company prior to the procedure. In addition, making sure all necessary referrals, authorizations and/or pre-certifications are in place prior to patient's scheduled appointment on emergent cases. Utilizes scheduling system to prioritize workload based on service, date, and insurance company requirements. Review applicable worklists within scheduling system to identify any additional information required to complete the case. Educational Development - Must pass and stay current with all Penn Medicine’s educational requirements. Keeps current on CPT/HCPS coding methodologies to accurately identify procedure codes needing authorization. Maintains working knowledge of Penn Medicine’s insurance verification tools, including insurance guidelines. Understands ICD-10 coding methodologies to accurately identify diagnosis codes to support medical necessity. Maintains working knowledge of Medical Necessity requirements for commercial and governmental payers.

Credentials:

• Maintains all training required for PennChart Certification

• Coding or Medical Terminology certificate preferred

Education or Equivalent Experience:

• High school diploma or equivalent.

• Associate degree preferred.

We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.

Live Your Life's Work

We are an Equal Opportunity and Affirmative Action employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.

REQNUMBER: 224070