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Surgery Scheduling Coordinator
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SUMMARY:
Under
the direction of the Nursing Supervisor, Office Manager or Clinic Coordinator,
the Scheduling Coordinator II manages and coordinates surgery and procedure
scheduling including meeting pre-certification requirements in accordance with
established policies & procedures, insurance guidelines, and facility
requirements in a multi-specialty environment.
ESSENTIAL DUTIES AND
RESPONSIBILITIES include the following.
Other duties may be assigned.
·
Keeps current on all
insurance requirements for pre-certification of surgical procedures and
diagnostic testing.
·
Evaluates
pre-certification process and revises procedures and/or devises forms and
workflow to maximize efficiency, including establishing and maintaining
electronic email, fax, and telephone transmissions with insurance carriers.
·
Trains other clinical
staff on the proper procedures and protocols to ensure correct
pre-certification is obtained, documented, and recorded.
·
Reviews
pre-certifications obtained by other clinical staff to ensure accuracy and
completeness.
·
Oversees scheduling
of patients for surgeries and diagnostic procedures for patients from the main
clinic as well as satellite facilities.
Surgeries are scheduled at several regional facilities where medical staff
has clinical privileges.
·
Develops and
maintains appropriate pre-op and pre-testing instruction material and explains
procedures/tests to patients per physicians’ instructions as requested.
·
Verifies insurance
coverage and pre-certifies patients for procedures and/or hospital stays.
·
Answers messages
regarding surgeries and tests, rescheduling appointments as necessary.
·
Coordinates surgeries
with other physicians in the area.
·
Maintains all OR
Suite block time at the hospital and releases it when not used.
·
Manages physicians’
schedules to maximize efficient use of both physician and OR time and updates
physician with any changes to schedule.
·
Makes pre-op
appointments for surgical patients, as requested (may be specialty specific)
·
Participates in
orientation and training of personnel.
·
Obtains all History
& Physical, consent forms, and other required documentation.
·
Ensures documentation
is included in office medical record and transfers essential forms to hospital
daily.
·
Applies knowledge and
proficiency in ICD-10 and CPT coding involving complex, multi-specialty
procedures.
EDUCATION AND/OR EXPERIENCE:
Diploma or equivalent from a one-year college or
technical school in medical office technology with background knowledge of
medical insurance and procedures. Minimum
three years experience required; five years experience preferred.
OTHER SKILLS AND ABILITIES: Knowledge of the principles and
practices of supervision and medical documentation. Ability to establish and
maintain an effective working relationship with faculty members, students,
residents, staff, patients and other third parties. Ability to operate
computer, keyboard, and printer. Ability
to operate phone system. Ability to
concentrate on the situation at hand and listen effectively. Ability to organize tasks, work as a team
member and/or independently. Knowledge
of ICD-10 and CPT coding. Convey a professional and positive image and
attitude.