at Rush-Copley Medical Center in Aurora, Illinois, United States
Job Description
Position Performance Area/Expectations :
Scheduler Activities
+ Receives order via workqueue once insurance is verified.
+ Fills out surgery data sheet.
+ Calls patient to pick surgery date. Facility determined by insurance.
+ Patients are to be called within 3 days of being seen.
+ Goes over instructions with the patient.
+ Enter information into scheduling book/Epic
+ Enters surgery order detail within EMR Open Case.
+ Take postop therapy order to PT and get PT to sign off they have received.
+ Order and confirm all equipment needed for case and any surgical assistants.
+ Mail patient written instruction sheets
+ Put all information together and make into packet and file until after surgery.
+ Fill out and fax to PCP/specialist History and Physical Request Form via Rightfax
+ Inform and mail flyer for any total joint or spine case about R.C. pre-op class and MRSA screening.
+ Schedule surgeries and register patient in EHR.
+ Keep track of provider schedules.
Authorization/Benefits Key Responsibilities :
+ Verifies and obtains authorizations as required by insurance companies dependent upon the plan coverage for all patients. Works and manages authorization work queues in Epic.
+ Coordinates with Patient Services Representativeto obtain needed information and provides timely communication to the clinic and treating clinician regarding lapses or denials for authorization.
+ Depending on assignment by Practice Manager, provides authorizations for physician, diagnostic, therapy and/or surgical services. Authorizations may include all insurances including workers compensation coordination and management.
+ Researches benefits and referral requirements for unique situations and procedures at the provider’s request
+ Verifying patient eligibility prior to appointments as necessary
+ Verifies benefits for specific patients, services, or procedures that are not verified during the pre-registration process
Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status and other legally protected characteristics. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation if you are unable or limited in your ability to access job openings or apply for a job on this site as a result of your disability. You can request reasonable accommodations by contacting rush_recruitment@rush.edu.
