Responsible for all aspects of surgery process including all verifying insurance; pre-operative certifications and authorizations; complete necessary hospital forms; scheduling patient for any pre-operative labs, testing and coordination of post-surgery care
- Adheres to and supports the mission, purpose, philosophy, objectives, policies, and procedures of Tenet Physician Resources.
- Adheres to the Tenet HIPAA Compliance Plan and the Privacy Standards Confidentiality Agreement.
- Demonstrates support for the Tenet Corporate Compliance Program by being knowledgeable of compliance responsibilities as expressed in the Code of Conduct; adhering to federal and state laws, rules, regulations, and corporate policies and procedures that affect job functions / responsibilities; and reporting compliance issues.
- Triage surgical candidates as required by the physicians.
- Work with appropriate hospital personnel to obtain information as required for surgery scheduling.
- Educate patients about planned surgery.
- Verify insurance information in the electronic system and obtain necessary authorizations prior to surgery.
- Work in concert with surgeons to obtain medical clearances and preoperative testing as required by hospital protocols.
- Confirm and reschedule return appointments as necessary; notify manager with patient account and insurance issues.
- Provide assistance to administrative or clinical staff as needed, and other duties as assigned.
Education : High school diploma / GED
Experience : Minimum of one year working in medical insurance or healthcare related field; Previous surgery scheduling experience strongly preferred.