Experience Inc. Jobs

Purpose:

Coordinate and schedule patients for in-patient and outpatient surgical procedures. Provides leadership for all surgery schedulers.

Responsibilities:

• Provide patients with pre and postoperative instruction according to service specific guidelines. Schedule post-operative appointments and appointments to review testing ordered by physician.

• Assists in the recruiting and hiring of surgery schedulers

• Send/receive patient medical records in accordance with Health Insurance. Obtain lab/x-ray reports, hospital notes, referral information, etc.

• Assists nurses with messages/triage/OR chart prep etc.

• Assist management staff with supervisory activities. Participates with creation and implementation of departmental goals, processes and procedures.

• Ensure all billing and insurance information is current and accurate.

• Complete forms/requisitions as needed. Schedule appointments. Manages schedules and organizing patient flow.

• Verify insurance coverage and patient demographics.

• Prepare and managing charts to ensure information completed and filed appropriately.

• Answer and respond to all incoming telephone inquiries utilizing UPP customer service standards.

• Perform all responsibilities in a manner that demonstrates appropriate behavior towards staff, peers and other department personnel as defined in the departmental and UPMC/UPP job performance standards. Employee can be relied upon to work steadily and effectively and for punctuality and regularity of attendance. Stays late to cover clinical areas as needed

• Obtain pre-certification and/or referral prior to the date of the procedure. Ensure that informed consents are signed.

• Prepare patient rooms, set up instruments and equipment according to department protocol. Clean exam/procedure rooms, instruments and equipment between patient visits to maintain infection control. Clean according to scheduled maintenance program and keeping appropriate records.

• Accompany patients to exam/procedure room. Assist patients as needed with walking, transfers, dressing, collecting specimens, preparing for exam, etc. Collect patient information/history; taking vitals, performing screenings per provider guidelines.

• Relay instructions to patients/families. May provide more individualized patient/family education and supportive counseling as needed.

• Provides leadership for all surgery schedulers.

• Acts as preceptor for new hires.

• Manage inventory of supplies; restocking exam/procedure rooms.

• Coordinate and schedule all necessary pre-testing and orders given by the attending physician(s).

• Completes performance appraisals for surgery schedulers.

• Prepare and forward all necessary admission reservations/requisitions, including demographics and insurance information to hospitals.

• Comply with requirements of appropriate regulatory agencies (i.e. OSHA, CLIA, PA Department of Health). Maintain strict confidentiality related to medical records and other data.

• Coordinate surgery cases and communicates with hospital personnel to obtain approval for hospital admissions.

• Guides workflow and/or assigns tasks to other clinical staff.

• Mentors, orients and provides ongoing training to staff.

• High school diploma required.

• Completion of a medical assisting program or 4-5 years experience in a medical field.

• Proficiency in medical terminology preferred.

• Knowledge of insurance regulations, specifically Medicare, BC/BS, managed care plans and workers compensation carriers regarding scheduling and approval of surgical procedures.

• General knowledge of computer software and practice management databases is required.

• Knowledge of the Epic practice management programs preferred.

• Strong organization, time management and interpersonal skills.

• Tact and diplomacy are necessary in dealing with physicians, patients and their families and other employees.

• Ability to deal compassionately and professionally with patients is essential.

• Ability to work independently and possess sound decision-making skills.

• Ability to prioritize work demands.

• Ability to consistently maintain confidentiality with regards to all job assignments and related information. Licensure, Certifications, and Clearances: UPMC is an Equal Opportunity Employer/Disability/Veteran