Surgical Coordinator

    • Job Tracking ID: 512635-589724
    • Job Location: MEMPHIS, TN
    • Job Level: Mid Career (2+ years)
    • Level of Education: High School/GED
    • Job Type: Full-Time/Regular
    • Date Updated: September 12, 2017
    • Years of Experience: 2 - 5 Years
    • Starting Date: October 1, 2017
    • PCN: OPS0123
    • Position: Surgical Coordinator
    • Date: 9/1/2017
    • FLSA Status: Non Exempt
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Job Description:

Schedule surgeries and pre-operative tests, and counsel patients about their financial responsibility prior to surgery. Act as a liaison between physician, patient, insurance companies and hospital or surgery center.

KEY RESULT AREAS (KRAs)

  • Pre-certification effectiveness
  • Authorization effectiveness
  • Insurance verification
  • Communication with insurance and facilities
  • Record and file systems
  • Clinical record maintenance
  • Clinical information research
  • Customer service levels

Essential responsibilities include, but are not limited to:

Surgery Scheduling Duties

  • Receives instructions from physicians about which surgery or test is recommended
  • Obtains precertification/preauthorization from insurance companies prior to surgery for each procedure and test, using an online application or by contacting insurer on the telephone
  • Verifies patient eligibility and coverage for the procedure using an online application or the telephone; if patient is not eligible on date of service, or procedure is not a covered benefit, explains this to patients
  • Counsels patients pre-operatively regarding their potential financial obligations, and provides information about patient insurance coverage
  • Discusses pre-operative instructions with the patient, as directed by physicians
  • Assists patients with setting up payment plans, and collects all co-pays, co-insurances, pre-surgical deposits and full amounts
  • Schedules operating room time, according to physician scheduling protocols; faxes H&P to hospital admitting department
  • Schedules all appropriate pre-operative tests and blood work
  • Coordinates all business and clinical paperwork prior to surgery, using physician-approved forms and checklists; has paperwork ready for surgeon prior to the day of surgery

Other Duties

  • Responds to written and telephone inquiries from patient and carriers regarding planned surgeries
  • Maintains communication among the physician, patient, insurance company and hospital at all times
  • Maintains patient confidentiality; complies with HIPAA and compliance guidelines established by the practice
  • Ensures that clinical records are up to date and maintained
  • Attends continuing education courses as requested
  • Attends all regular staff meetings

Completes all other duties as assigned by the Manager

Experience and Skills:

KNOWLEDGE, SKILLS & ABILITIES, EDUCATION and/or EXPERIENCE

  • High School diploma or equivalent required. College education preferred.
  • 3 years work experience in a medical setting.
  • Experience in Ophthalmology
  • Effective interpersonal and communication skills required
  • Organizational Skills
  • Customer service orientation
  • Knowledge of medical terminology
  • Knowledge of medical practice management software and EMR required.

Appointments will be based on merit as it relates to position requirements without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, or veteran status. Successful candidates must submit documentation verifying employment eligibility and identity and successfully pass a drug test to be employed by University Clinical Health. External candidates apply online at http://universityclinicalhealth.com/careers. University Clinical Health is committed to ensuring equal employment opportunity, including providing reasonable accommodations to individuals with a disability. Applicants with a physical or mental disability who require a reasonable accommodation for any part of the application or hiring process may contact the Human Resource Department at 901-866-8100 or fax 901-302-2008.