**40388BR** **Extended Job Title:** Surgery Scheduler-ELP **Org Level 1:** Texas Tech Unv Hlth Sci Ctr El Paso **Position Description:** Under limited supervision, performs a wide range of surgical scheduling duties for procedures requiring anesthesia. The surgical scheduler is required to initiate the insurance authorization process, schedule pre-admission testing and clearance appointments, and schedule appropriate surgical procedures with the appropriate facility. **Requisition ID:** 40388BR **Optional Attachments:** Transcript **Travel Required:** Up to 25% **Major/Essential Functions:** + Handle authorization process and obtain pre-certification approvals prior to service. + Submit pre-authorization requests and follow up with payer to ensure timely approvals. Update resident providers and supervising faculty of delays related to pre-authorization. + Assist providers with treatment plan assessment to determine if pre-authorization is required. + Assist in the development and maintenance of a standardized workflow for the pre-authorization process. + Provide instruction and guidelines on coding and pre-authorization processes to faculty, residents and staff. + Assist in the preparation and submission of appeals for denied authorizations, including but not limited to providing additional information or documentation. + Respond and follow-up to patient and insurance inquiries/correspondence in a timely manner and in accordance with departmental expectations/requirements. + Provide leadership team with regular status updates on authorization and denials. + Maintain accurate records and reports of pre-certifications request, approvals, and denials. + Review assigned electronic health record (EHR) Work Queue’s to ensure all errors are cleared and billing has been submitted in a timely manner, and in accordance with departmental expectations/requirements. + Stay current with changes in coding guidelines, regulations and insurance requirements. + Assess and monitor Medicaid/CHIP billing guidelines and regulations while partnering with the Office of Institutional Compliance on corrective action plans related to billing compliance. + Collaborate with revenue cycle team via weekly, biweekly, and/or monthly meetings (as directed) to review payment and denial trends. + Collaborate with members of clinic administration on process improvement to help optimize the pre-authorization processes in the clinics. Communicate with patients regarding authorization requirements, status updates and financial responsibilities associated with approved or pending authorizations. Serve as a liaison between clinical providers and insurance payers to address authorization-related issues or inquiries effectively. Escalate matters of concern to leadership in accordance with departmental expectations/requirements. + Perform all other duties as assigned. Adhere to all TTUHSCEP policies, procedures and processes. + Personally demonstrate, display, and act in accordance with TTUHSCEP’s values (Service, Respect, Accountability, Integrity, Advancement, and Teamwork). Actively promote and encourage staff across the institution. + Perform all other duties as assigned. **Grant Funded?:** No **Minimum Hire Rate:** Compensation is commensurate upon the qualifications of the individual **Pay Basis:** Hourly **Work Location:** El Paso **Preferred Qualifications:** + Knowledge of Texas Tech Health of El Paso EMR system. + Experience with surgical scheduling procedures, surgery authorization processes, and hospital admission policies/procedures. + Excellent interpersonal and communication skills with the ability to effectively interact with patients and families, providers, and internal and external customers. + Knowledge of medical terminology. MS Office proficiency (Word, Excel and Outlook). **Campus:** HSC - El Paso **Department:** Clinical Operations IM **Required Attachments:** Resume / CV **Job Type:** Full Time **Pay Statement:** cselected and budgetary guidelines of the hiring department, as well as the institutional pay plan. For additional information, please reference the institutional pay plan website (https://app4.ttuhsc.edu/payplan/) . **Job Group:** Senior Other Administrative **Shift:** Day **EEO Statement:** All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, national origin, age, disability, genetic information or status as a protected veteran. **Required Qualifications:** + Associates degree plus 6 months of surgery scheduling experience; OR + High school diploma or GED plus two (2) years of surgery scheduling experience. **Does this position work in a research laboratory?:** No **Jeanne Clery Act:** The Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act is a federal statute requiring colleges and universities participating in federal financial aid programs to maintain and disclose campus crime statistics and security information. By October 1 of each year, institutions must publish and distribute their Annual Campus Security Policy & Crime Statistics Report (ASR) to current and prospective students and employees. To view this report, visit the TTUHSC Clery Act website (https://www.ttuhsc.edu/emergency/clery-report.aspx) .