Billing Surgery Scheduler - Posting for Southern New England ENT Employees Only

This posting is only for current Southern New England ENT employees. Positions will be offered in New Haven, Middletown, Cheshire, and Guilford.Billing Surgery SchedulerPosition HighlightsDepartment: Middlesex Health ENT and Facial Plastic SurgeryHours: Full-Time & Part-Time PositionsSummaryUnder General Supervision:The Billing Surgery Scheduler schedules patient procedures at the Hospital or other facilities as directed, and assures that all of the appropriate clinical and insurance coding information is collected for the surgical schedule. The scheduler schedules the surgical procedure according to the available templates specified per provider and location and maintains open communications with the staff at the hospital and surgical centers, along with the physicians.The Billing Surgery Scheduler also reviews in Epic the professional charges entered by providers to ensure that charges are accurate from a correct coding perspective. The scheduler accurately codes and enters all surgical case procedures performed by physicians and corrects errors in coding and claims in applicable Epic workqueues.ResponsibilitiesSchedule Surgical Procedures using EPIC EHROrder preoperative testing and labs (as certification and Epic access allows)Provide patient with specific instructions for preoperative testing and date of procedureAs knowledge base and credential allows, answer procedure related inquiries and maintain a polite, respectful attitude towards patients and their familiesVerify insurance information in order for prior authorization to be obtained, and follow up to make certain prior authorization is in place prior to procedure.Assure appropriate coordination with the surgical department when procedures warrant outside representatives from companies to be present during procedureMust be organized and detail oriented to keep track of various schedulesBasic knowledge of Medical terminology for the surgical procedures that physicians performPerform any related tasks as delegated by Physicians or ManagerReview and complete any Billing related requestsReview charges entered by providers and make certain appropriate codes are in place, including accurately entering all coding for surgery/procedures performed by physiciansComplete insurance referrals and authorizations for diagnostic imaging orders in the EHR according to established procedures as requested by patients and approved by providersPerform pre-certifications and prior authorizations as needed.Track referral and authorization/precertification for imaging orders and comment over its statusFollow up to obtain the referral or authorizations for imaging reports in a timely mannerManage and address appropriately telephone encounters assigned to the Epic “Billing/Referral Coordinator inbox” Manage requests for medical records following HIPAA compliant proceduresReview providers entered charges and billing for appropriate coding prior to release to the central billing team for claim processingPerform any related tasks as delegated by the Billing Manager/Practice ManagerOther job related duties as assignedMinimum QualificationsHigh School Diploma or EquivalentModerate Computer SkillsMedical Terminology backgroundPreferred QualificationsCertified Medical AssistantCertified Professional CoderPrevious Medical Office Experience, Experience with electronic medical records.Comprehensive Benefits OfferedCompetitive and affordable benefits packageShift DifferentialsContinuing Education assistanceTuition reimbursementStudent Loan relief through FiduciusQuick commute access from I-84, Route 9 and surrounding areas
About Middlesex HealthThe Smarter Choice for your Career!Come join one of Connecticut’s Top Workplaces, and a Magnet designated organization! At Middlesex Health, we have a unique combination of award-winning talent, world-class technology, and patient-first care that's making health care better. Through our affiliation with the Mayo Clinic Care Network, Middlesex Health has access to the most advanced medical knowledge and research available.