Summary

The Patient Services Intermediate/Surgery Scheduler position is responsible for obtaining detailed information for all aspects of a patient's surgery, including inpatient/outpatient surgery.  The scheduler provides quotations for patient pay procedures. Plastic Surgery Schedulers schedule surgeries across UH, EAA, Livonia, Mott, Chelsea and CVC to optimize patient service and surgeon efficiency, and also coordinates surgeries with other surgeons and services.  The Scheduler also monitors and updates information regarding current insurance data and patient demographics. 

Mission Statement

Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally.  Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.

Why Join Michigan Medicine?

Michigan Medicine is one of the largest health care complexes in the world and has been the site of many groundbreaking medical and technological advancements since the opening of the U-M Medical School in 1850. Michigan Medicine is comprised of over 30,000 employees and our vision is to attract, inspire, and develop outstanding people in medicine, sciences, and healthcare to become one of the world’s most distinguished academic health systems.  In some way, great or small, every person here helps to advance this world-class institution. Work at Michigan Medicine and become a victor for the greater good.

What Benefits can you Look Forward to?

• Excellent medical, dental and vision coverage effective on your very first day
• 2:1 Match on retirement savings

Responsibilities*

The Surgery Scheduler in Plastics schedules and manages approximately 5 million dollars in RVU based revenue.

1. Obtains detailed benefit information for all aspects of surgery, including inpatient/outpatient surgery.  Ensures that prior authorizations are secured prior to scheduling surgery.  PLA Surg Schedulers are expected to prevent unnecessary write-offs due to lack of contract or authorization for the institution. 
2. Follows established guidelines for documenting and utilizing our MiChart Referral Entry or MiChart Imaging, as appropriate.
3. For patients with No Fault or Worker’s Comp insurances, PLA surg schedulers are the resource for the individual claims adjusters to contact when they need updated clinical information on a patient’s progress. 
4. Acts as a resource to the patient and family on insurance issues and alternative funding options and assists with resolution of billing problems.   
5. Works with Billing on retro-prior authorization issues, in a timely manner. 
6. Counsels’ patient to contact the UM Financial Counseling Office to address questions regarding coverage, deductible, co-pay, and/or co-insurance.  Provides handout and/or business card.
7. Monitors and updates information regarding current insurance data and patient demographics.   
8. Prior to a patient’s surgery, if their insurance company requires pre-notification with Dates of Service and Dx codes and CPT codes, this information is faxed to Document Control Center for imaging into the patient’s medical record.
9. Uses online insurance verifications systems such as WebDenis, Medicare HIQA, Medicaid, and MiChart CareWeb.  
10. Must keep current on all U of M Managed Care Contracts and state and federal government policies.  
11. Verifies that the clinical staff (nurses) has obtained all necessary medical clearances prior to surgery.   
12. Manages surgical schedules across UH, EAA, Mott, Chelsea and Livonia, to optimize patient service and surgeon efficiency.  
13. Provides quotations for patient pay procedures.  Advises patients on reimbursement for combined cosmetic and medically necessary procedures.  
14. MiChart Surgical Case Depot Management:  Move cases from the scheduling depot, in a timely manner, in a way that is responsive to patients and optimizes use of OR time; 90 days from date entered into Depot.
15. Coordinates surgeries with other surgeons.  
16. Assures that all pre and post-operative visits are scheduled.  
17. Advises surgeon on practice patterns including when to increase number of new visits to improve the surgical schedule.
18. Other duties as assigned

Required Qualifications*

Must be detail oriented, have excellent customer service and organizational skills.  The successful candidate will have 3-4 years of medical office experience, including a working knowledge of medical terminology, diagnosis and procedure coding, and experience working with insurance referrals and authorizations.  The successful candidate will be comfortable with working directly with surgeons; will be a self-starter, motivated, and have a positive and professional attitude; will demonstrate effective verbal and written communications skills; will demonstrate the ability to work with minimal supervision, the ability to take direction and to work with others as part of a team.  High School Diploma, GED, or Equivalent required. Candidate must be familiar with obtaining medical records. Prior experience performing complex scheduling is required. Financial counseling experience for healthcare patients and exceptional interpersonal, communication, active listening and technology skills are required.

Desired Qualifications*

• Working knowledge of MiChart Cadence, WebDenis, E-referral, Champs, ORMIS, Outlook; financial or specific surgery scheduling background is a plus. 
• Bachelor’s degree preferred. 
• Experience working within a large, complex healthcare setting.
• Knowledge of university policies & procedures.

Background Screening

Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings.  Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses.

Application Deadline

Job openings are posted for a minimum of seven calendar days. This job may be removed from posting boards and filled anytime after the minimum posting period has ended.

U-M EEO/AA Statement

The University of Michigan is an equal opportunity/affirmative action employer.