Surgical Scheduler

Job Title: Surgical Scheduler

Job Description

Founded in 1991, IBJI is the largest orthopedic group practice in Illinois. With more than 150 physicians in every orthopedic specialty, IBJI offers care for adults and children from some of the most accomplished and respected orthopedists in the country. Serving northern Illinois and northwest Indiana with over 100 locations, IBJI makes it easy to access care. Our headquarters is in Park Ridge, Illinois, a northwest suburb of Chicago. 

Our clinical services include advanced MRI imaging, pain management, non-surgical and surgical treatment plans, rheumatology, physical therapy, occupational therapy, wellness, and sports and sports training. Ortho Access walk-in clinics provide same day care for orthopedic injuries. Comprehensive care offered all in one place enables physicians, therapists and staff to work closely together, so that patients and families achieve better outcomes. Collaborative care is also more efficient. In many cases, IBJI services are substantially less expensive than those provided by large healthcare systems and emergency rooms.

Summary

The Surgical Scheduler is responsible for all functions related to surgical scheduling, pre-certification and verification of insurance benefits. This position is also responsible for the coordination of referrals for patient appointments and surgical procedures as required.

Responsibilities

Surgery Scheduling

• Coordinate the scheduling of surgical procedures for assigned surgeons in the practice, as well as a working knowledge for scheduling surgery for all surgeons
• Upon initiation of surgical request by the physician, discuss, determine and coordinate surgical date with patient/family in accordance with physician’s schedule
• Provide patients with the following information, as required: Cardiac and Medical clearance
• Scheduling appropriate pre-operative and post-operative appointments including pre-admission testing
• Pre-surgical history and physical and post-op visits
• Schedule surgical procedure with hospital or surgical center providing: Diagnosis, surgical procedure, type of anesthesia, type of admission and instrumentation required, and ICD-10 and CPT codes, as required
• Completing all necessary forms related to surgery scheduling
• Assisting patients with scheduling follow-up appointments if pre-op labs or EKGs are not within normal limits
• Contacting equipment representatives or arranging for surgical equipment as needed
• Notify instrumentation representatives of special requests
• Notify the surgical assistant of add-ons and cancellations
• Prepare weekly OR schedule in absence of Surgical Scheduler Assistant, updates add-ons or cancellations
• Maintaining and updating the physician's surgical calendar

Surgical Pre-certification/Verification of Benefits

• Initiate request for HMO/POS Insurance Plan referrals
• Working knowledge of obtaining pre-cert and benefit verification for Commercial/PPO Insurance Plans
• For Workers’ Compensation Plans: Contact insurance carrier claim adjustor and secure authorization for surgery. Fax clinical notes and/or test results to claim adjustor

Self-Pay Arrangements

• Advise patient/family regarding self-pay arrangement requirements
• Notify appropriate Business Office staff regarding all self-pay patients’ scheduled surgery
• Verify with Business Office staff to ensure that payment arrangements have been made
• Maintain a clean and safe work environment
• Other duties as assigned