Surgery Scheduler

Job Description

Job Description

Position Profile : Surgery Coordinator

Reports to : Operations Manager / Physician

POSITION SUMMARY :

This position is responsible for all aspects of scheduling surgery and other outpatient procedures for a patient including admissions. Performs some insurance verification and pre-certifications. It requires excellent communication skills with parents, managed care organizations, physicians, hospital surgery scheduling departments and outpatient surgery scheduling departments.

ESSENTIAL POSITION FUNCTIONS :

• At the decision for surgery this employee will either meet with or call the parent to schedule a date for surgery and explain surgery protocols to them.
• Will schedule in- patient admissions.
• Will schedule outpatient procedures such as MRI, CT, or other testing required.
• Prepares surgery information packets and mails surgery information to parent.
• Answers all patient / parent questions regarding surgery or procedures to ensure compliance and patient satisfaction.
• Notifies parent of insurance benefits, any amount due to PENTA prior to surgery date and collect money.
• To maximize potential for reimbursement performs the following :
• Verifies all surgeries and procedures with insurance plan.
• Obtains. Precertification for surgery and procedures if require
• Maintains records of all verified surgeries and procedures to provide to reimbursement department.
• Stays current with carrier requirements to ensure all are met in order to maximize our potential for reimbursement.
• Ensures that appropriate procedure and diagnosis coding is utilized in the precertification and verification process and questions physicians to ensure accuracy and completeness of information.
• Coordinates cases with other PENTA physicians and / or other surgeons outside of this practice.

SUPERVISORY DUTIES : None

POSITION REQUIREMENTS :

WORKING ENVIORNMENT :

Physical Demands :

Lifting Requirements :

Additional Physical Demands :

Visual, Hearing, Dexterity and Mental Demands :

o Multi-tasks of accumulating data

o Sorting papers

o Stapling / operating office equipment

o Documenting information

o Dealing with upset patients / parents

o Uncooperative insurance carriers

o No problems with dealing with stressful situations in regard to physician demands vs. availability of surgery block time