Surgery Scheduler/Triage - Austin, TX

ABOUT TEXAS ORTHOPEDICS, A DIVISION OF ORTHOLONESTAR · Join the Team · Since opening our doors in 1986, Texas Orthopedics has grown into one of Central Texas's most trusted names in musculoskeletal care. For nearly four decades, we've been committed to delivering exceptional orth ...

Job description

ABOUT TEXAS ORTHOPEDICS, A DIVISION OF ORTHOLONESTAR

Join the Team

Since opening our doors in 1986, Texas Orthopedics has grown into one of Central Texas's most trusted names in musculoskeletal care. For nearly four decades, we've been committed to delivering exceptional orthopedic, rheumatologic, and physical therapy services to our community. With multiple locations throughout the Austin area and a comprehensive team of highly skilled physicians, we continue to expand our reach and elevate patient experience. Texas Orthopedics is a proud division of OrthoLoneStar, the largest independent orthopedic practice in Texas.

Experience the Texas Orthopedics Work Environment

At Texas Orthopedics, we strive to create a workplace where excellence and support go hand in hand. We prioritize a culture that encourages collaboration, professional growth, work–life balance and a team-driven environment. Through ongoing communication, staff feedback initiatives, and continuous process improvements, we work together to ensure our clinics operate with the highest standards of efficiency, innovation, and comfort. This commitment helps us deliver an exceptional experience not only to our patients, but also to every member of our team.

GENERAL JOB DESCRIPTION: Oversees and coordinates all clinical care outside of the clinic office visit to provide concierge customer service while ensuring that quality and patient safety expectations are met. Coordinate and communicate timely with patients, providers, and third parties on all incoming inquiries as well as following up on action items throughout the patient's recovery.

ESSENTIAL FUNCTIONS:

• Responsible for receiving, documenting, and handling in-coming calls. Schedule surgeries, MRI's, CT scans, Myelograms, Epidurals, etc., including pre-op, follow-up and initial PT appointments at appropriate facilities. Complete surgery checklist with appropriate information & knowledge of each physician's schedule and surgery guidelines.
• Submits medical records, works with the provider on necessary documentation, if necessary, to obtain pre-authorization as needed.
• Consults with the appropriate provider to obtain clearance that treatment regimen is considered medically necessary before initiating request to the insurance plan.
• Closely monitors the authorization process and keeps physician and patient updated as needed.
• Documents accurately in the electronic medical record all necessary authorization numbers and effective dates for the episode of care.
• Schedules Peer-to-Peer calls when necessary.
• Assist with obtaining prior-auth including eligibility verification and an estimate for what the patient is expected to pay.
• Issues prescriptions, physical therapy orders, home exercises, work restrictions, and other orders per physician instruction and assists in patient education.
• Assist with ensuring all medication requests received before 4 p.m. and all patient cases are responded to on the same business day. If an answer cannot be obtained, the patient is notified that their question will be addressed the next business day. Facilitate capture of patients' opioid history for physician review.
• Queue lab results into system through EMR interface.
• Schedules appointments for patients when needed.
• Reviews assigned physician's surgery schedule in advance for quality assurance and make corrections as needed. Work with the Surgery Coordinator/Triage Team Lead and Office Manager to coordinate training of physician's preferences.
• Responsible for tracking all adverse events such as post-operative complications and hospital readmissions accordingly.
• Facilitate the capture of patient reported outcomes through appropriate platform.
• Monitors assigned voicemail and returns calls same day.
• Maintains all information in the strictest confidentiality.
• Provides coverage for peers when assigned.
• Some travel to other locations required.
• All other duties as assigned.

BENEFITS:

• Medical Insurance with VIP Health Advocate Service
• Health Savings Account (HSA) with employer contribution
• Flexible Spending Account (FSA)
• Dental Coverage
• Vision Coverage
• 7-8 Paid Holidays each year
• 12 PTO Days to start, with increases based on tenure (up to 22 days)
• 401(k) with Safe Harbor contribution plus Profit Sharing (once eligible)
• Life Insurance
• Short & Long-Term Disability
• Additional Supplemental Plans
• Mileage Reimbursement + Travel Time – (for eligible positions)
• Colleague Recognition Program
• Well-being support: Employee Assistance Progra

To learn more, visit:

QUALIFICATIONS

Education:

• High school diploma or GED

Experience:

• Two years as a medical assistant with hospital, home health, or office experience; preferably orthopedics related
• Two years of surgery scheduling preferred

Licensure:

• Current Medical Assistant certification (CMA) preferred

Special Skills:

• Knowledge of computer systems and applications
• Knowledge of medical terminology
• Pharmaceutical knowledge
• Ability to work in a fast paced environment
• Attention to detail
• Excellent problem solving skills

Physical Demands:

• Ability to sit for extended periods of time
• Ability to lift and carry items weighing up to 50 pounds.
• Must have full range of motion.
• Must have adequate visual acuity to read, the ability to interpret and understand written material.
• Must have adequate hearing and speaking abilities to interact appropriately with others, including patients and co-workers.

Environmental Working Conditions:

• Combination clinic and office setting.
• Travel between clinic locations.
• Exposure to communicable diseases, toxic substances, radiation and bodily fluids.