Surgical Coordinator, Medicine

Position Summary

Under supervision, schedule and post surgeries, and obtain pre-certification for various medical services performed within the Gastrointestinal division of the Medicine department. Knowledgeable in all participating third-party carrier policies and procedures regarding pre-certification.

Essential Duties and Responsibilities: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Other duties may be assigned.

Demonstrates knowledge of the organization's mission and MFA's iCare values and incorporates them into the performance of duties.

Schedules and post-surgeries for physicians in the department in a timely fashion.

Ensures the timely scheduling of surgeries, pre-op testing, and post-op testing.

Meet or call prospective surgery patients to determine the date, time frame, and facility for the procedure. Initial contact will be made within 2 business days.

Sets, date, and location for the procedure; arrange preoperative testing and/or exam.

Prepares and provide pre-op patient packet either in person, by mail, or by e-mail.

Answer telephone lines; make, reschedule, or cancel appointments forward or take messages as needed.

Schedules post-op appointments at the point of scheduling the surgery.

Maintains updated and accurate notes in the electronic medical record concerning all billing and insurance information.

Contacts third-party carriers to verify insurance benefits and obtains pre-authorization for all procedures.

Qualifications

Education

A college degree or an equivalent combination of training and work experience is required.

Experience

A minimum of 1 year of responsible health care accounting/financial analysis or pre-certification is needed.
Knowledge of the healthcare industry, physician billing practices, and third-party reimbursement.
Demonstrated working knowledge of federal and state regulations, insurance policies, and procedures.
Familiarity with automated accounts receivable software.
Proficiency in Microsoft Word and Excel.
Excellent written, verbal and organizational skills are required.
Clinical background is preferred.