- POSITION STANDARDS
- Requires high school diploma or equivalent
- Candidates with a knowledge of medical terminology and past medical environment experience are preferred.
- Requires capacity to work independently while ensuring excellent communication and coordination with providers, hospital surgical schedulers, payers, patients.
- Demonstrated ability to think critically.
- Excellent customer service required.
- Excellent computer skills, excel and word proficiency required.
- Working knowledge of CPT and ICD-10.
- Strong understanding of insurance pre-certification, authorization and benefits determination.
- POSITION PHYSICAL REQUIREMENTS
- Anything listed here requires a pre-employment physical by Employee Health to determine if the employee is capable of meeting the requirements.
- Physical Activity:
- Upper Extremity:
- Push/Pull/Lift/Carry:
- Anything listed here requires a pre-employment physical by Employee Health to determine if the employee is capable of meeting the requirements.
- PART TWO: FUNCTIONAL RESPONSIBILITY
- Position Objective
- Works closely with surgeons and hospital staff to accurately and quickly schedule surgeries. Communicates, both in written and verbal form,
with patients on a regular basis to schedule surgeries. Works with payers to obtain preauthorization and benefit determination for surgical
interventions.
- Works closely with surgeons and hospital staff to accurately and quickly schedule surgeries. Communicates, both in written and verbal form,
- Performance Expectation
- Receives surgical scheduling request from providers.
- Scans request to ensure completeness of information.
- Obtains all certifications and pre-authorizations from patient insurer. Verify benefits, patient co-pay and deductible.
- Schedules in accordance with surgical scheduling guidelines, ensuring appropriate pre-operative clearance is obtain in a timely manner.
- Obtains first assist, when appropriate. Coordinates specialty assists with other surgical offices when needed.
- Communicates and coordinates effectively with Preoperative Coordinators, clearly articulating the needs of the surgeon for each case.
- Schedules pre-op and post-op visits within the appropriate timeframes.
- Releases OR time when appropriate and authorized by Surgeons.
- Negotiates OR time outside of block schedule when required.
- Provides backup coverage for RN in putting in pre op surgical orders per provider protocol.
- Communicates with patient regarding appointments pending or requiring patient to schedule.
- Communicates with providers and nursing staff regarding the status of patients in the surgical process.
- Sends certified letters to patients as required by the process.
- Other duties as assigned
- Position Objective
-
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