Surgery Scheduler Resume Example Temple University Hospital

SURGERY SCHEDULER

Professional Summary

Surgical Coordinator with management experience,exceptional people skills, and over 15 years in the healthcare field. Versed in health insurance procedures, precertification, and surgical scheduling. Desires a challenging role as a Health Insurance Specialist.

Experienced professional with a successful career in the healthcare industry with business background.
Serves as a principle advisor for surgical services and is responsible for monitoring, planning, and foreseeing the service direction through support and consulting with medical and administrative management for continual and improved quality of care.
Experience in private and public sector health care with operations and billing platforms.
Provide support to health care management by analyzing, evaluating, and advising on coordinating health care delivery systems and operations.
Excel at interfacing with others at all levels to ensure organizational goals are attained.
Proactive approach has resulted in positive case scheduling, payments, and expanding client base.
Possess excellent interpersonal, analytical, and organizational skills. Knowledge of qualitative and quantitative analytical techniques to provide administrative oversight and maintenance of budgets, personnel and services.
Excel within highly stressful and demanding environments where leadership skills are the keys to success.
Ensure the surgery services, initiatives, and regulatory requirements are in compliance with all the department and outside institutions.
An effective coordinator with the skills necessary to direct, train, and motivate staff to their fullest potential.
Review and analyze medical insurance policies and premiums. Develops and maintains spreadsheets with workflows, records, and business tracking procedures to facilitate reporting, calculating payments, and documenting analysis.
Specialized experience in the healthcare field utilizing principles, practices, methods, techniques and knowledge to successfully perform the duties of the position.
Analyze, evaluate, advising on, and coordinate health care systems and operations to access business needs of staff and services.
Provides health system and business services to support surgery services and patient care support.
Billing experience in healthcare/ insurance industry. Review and analyze medical insurance policies and premiums.
Apply analytical and evaluative techniques to identify, consider, and resolve problems.
Review and respond to inquiries relating to applicable services or benefits in health care insurance programs and services.
Develop continuous improvement process and institute corrective actions to resolve negative trends.
Interfaces with internal and external contacts to resolve COB discrepancies.
Experience with Medicare and Medicaid insurances pertaining to CMS guidance, state eligibility, and private health plan operations and protocols.
Knowledge of state based health systems and state level initiatives for health insurance exchange.
Experience with regulatory compliance.
Obtains clarification of guidance and monitors regulations from CMS as appropriate.
Proficient in ICD 9 and CPT billing codes.

Skill Highlights

Results-oriented
Client-focused
Excel in health insurance policies and protocols.
Quick learner
Computer proficient in Microsoft Office (Word,Works, Excel, PowerPoint, and Outlook)
OfficeFile/records maintenance
Reports generation and analysis
Knowledge of Health insurances public and private
Contract negotiations/ review/drafting records and processing with medicare and other health insurance.
Excel within highly stressful and demanding environments where leadership skills are the keys to success.
Develops and maintains spreadsheets with workflows, records, and business tracking procedures to facilitate reporting, calculating payments, and documenting analysis.
Time Management

Proficiency in computers
Training and development
15 years of experience in the Healthcare field within a clinical environment.
11 years specialized experience in Neurological surgery.
Specialized experience in general surgery, operating room, gastroenterology, and pediatrics.
Knowledge of qualitative and quantitative analytical techniques to provide administrative oversight and Operations management
Proficient in IDX web, Peoplesoft, EMR, Jeff Cal,and Jeff Chart.
Proficient in Navinet, Promise, Med Solutions, and NIA.
Proficient HSM, SMS, and PHS scheduling systems.
Possess excellent interpersonal, analytical, oral, and written communication skills.
Effective skills necessary to direct, train, and motivate staff to their fullest potential.

Professional Experience

Surgery Scheduler
January 2004 to October 2004Temple University Hospital － Philadelphia

Schedule procedures for in and outpatient procedures averaging 200 patients a month.
Scheduling procedures for aneurysms, subarachnoid hemorrhages, AVM, Chiari malformations, moya-moya disease, spinal cord injuries, and brain tumors etc.
Coordinate and manage the surgical schedule for 3 neurosurgeons.
Knowledge of Neurosurgery and Vascular procedures and the implication for patient care pre operatively and post operatively, operational advantages and the clinical outcomes.
Knowledge of the imaging equipment as well as the procedures within the interventional radiology suite e.g Angiograms, Coil/ Embolizations, Pipeline procedures, and IAC (Intra arterial chemotherapy injections) procedures for children.
As well as a complete understanding of minimal invasive interventional procedures.
Knowledge of radiology studies e.g.
MRI, MRA, MR-V, CT, and CTA scans.
Coordinate preadmission testing as well as office appointments with other departments for co surgeons to assist.
Multitask and meet extremely strict deadlines.
Time management/ calendar management.
Answer inquiries from patients, insurance companies, assistance offices, and providers.
Obtain precertification for surgeries and diagnostic procedures.
Obtain medical clearances for upcoming surgeries.
Order office supplies as needed.
Maintain standard office equipment.
Schedule patients for surgeries electively and urgently.
Knowledge of medical terminology.
Create and manage spreadsheets.
Prepare and process the surgery reports.
Prepare and revise the surgery schedule.
Coordinate and manage seventeen operating rooms with the availability of the anesthesia team, technicians, physicians and their block time.
Process tissue samples and specimens for the Histology department.
Data entry for the recovery room log entries.
Strong organizational skills.
Proficient in HSM, SMS, PHS scheduling system, and IDX character and web base.

Administrative Assistant
December 2002 to January 2004Temple University Hospital － Philadelphia

Type 60+ WPM.
Schedule patients.
Prepare and process charts to be coded.
Apply billing charges for the hospital as well as the physician's charges.
General office work such as filing, faxing, date entry, typing, scheduling appointments, answering a multi-line telephone, and general office work.
Proficient in Word, Works, Excel, and IDX.

Unit Clerk
December 2000 to December 2002Temple East Northeastern Hospital － Philadelphia

Scheduled patients for procedures.
Verified patients insurance and obtained pre authorization.
Knowledge of medical terminology.
Generated and produced monthly budget reports.
Ensure compliance with HIPPA/ JACO regulations.
Data gathering and analysis skills.

Education and Training

Bachelor : Healthcare Administration, September 2017Thomas Jefferson University － Philadelphia, PAHealthcare Administration

1/2006Community College of Philadelphia － PA

Work History

Gastroenterology Department

Endoscopy Department

Skills

Resume Overview

Companies Worked For:

Temple University Hospital
Temple East Northeastern Hospital
Gastroenterology Department
Endoscopy Department

School Attended

Thomas Jefferson University
Community College of Philadelphia

Job Titles Held:

Surgery Scheduler
Administrative Assistant
Unit Clerk

Degrees

Bachelor : Healthcare Administration , September 2017
1/2006

Surgery Scheduler Resume Example

Resume Score: 90%

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