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Surgical Scheduler

2 months ago


San Antonio, United States Pride Health Full time
Job DescriptionJob Description

Surgery Support Coordinator

Pride Health is seeking Surgery Support Coordinator for one of the large health systems based out of San Antonio, TX, 78240.

Job Title: Surgery Support Coordinator

Location: San Antonio, TX, 78240

Duration: 3+ months (Temp to Hire)

Pay Rate- $20.00/hr. to $22.00/hr. on w2.

Shift: M- F 1st Shift

Job Summary-

Under minimal supervision, dedicated to internal surgery scheduling from physician’s orders as directed by the physician. Close working relationship and good communication with physician a must. Reserve operating room date and time. Schedule anesthesia and surgical assistant and any outside surgical representatives and/or equipment necessary for procedure. Provide patient with pre-operative testing information ordered by physician. May be required to obtain any pre-operative testing results requested by physician and take appropriate actions as directed by Physician. Obtain necessary insurance authorization and pre-certification from insurance company with the proper Procedure (CPT) and Diagnosis codes (ICD-10). Communicate to the patient surgical information, all necessary prep the date/time/location of the appointment. May help orient, train and assign work of lower-level employees. Supports and adheres to the Compliance Program, to include the Code of Ethics and Business Standards.

Job Duties-

· Review with patient name of procedure/surgery to be performed.

· Review with patient any embedded protocols, notifications and/or tasks to be completed.

· Discuss with patient any/all preparations including bowel preps.

· Confirm surgery scheduled date with the patient, facility and anesthesia.

· Requests and ensures appropriate authorizations are obtained in a timely/effective manner for all scheduled procedures/surgeries.

· For insured patients, determines necessary authorization and pre-certification for surgery and other necessary surgical services with the proper Procedure (CPT) and Diagnosis codes (ICD-10}.

· Reviews, audits, and adheres to medical policy as outlined by payors to ensure accurate authorization and ensure no delay in reimbursement.

· Serve as a patient advocate and serves as a liaison between the patient, payor, office and facility to answer questions and escalate issues.

· Maintains working knowledge of surgical authorization requirements to prevent delays and denials.

· Ensure reports (e.g., Pathology, OR, other) are captured in chart

· Surgical pathology reports are in chart.

· All patients have returned to the office as ordered (including stent removals/exchanges) .

· Obtain missing Pathology reports.

· Schedule any needed appointments not already scheduled, either self or via Physician clinic scheduler as appropriate.

· Release any OR blocks with surgical facilities in accordance with stated policy to avoid penalties associated with OR

· utilization rates.

· Administer and process financial and patient care commitments (with any additional staff as appropriate).

· Notify appropriate personnel of a subject procedure for any type of prepayment/collection performed.

· Provide any needed contact information for financial questions/concerns.

· Obtains all required authorizations.

· Facilitates and schedules consultations, pre-testing, diagnostic tests or procedures, referrals and future appointments for patients.

· As necessary, facilitates communication between patient/family and interdisciplinary team and coordinates services related to patient care.

Minimum Job Qualifications (Knowledge, Skills, & Abilities):

· High School diploma or equivalent required. Position requires at least three years of Surgical practice/office work experience including work in insurance authorization, insurance verification and/or scheduling with ability to explain patient responsibility in accordance with them.

Multi Surgeon Scope

· Complete multiple tasks associated with case scheduling for multiple providers to include completion of all required pre-surgery/procedure tasks, based on type of case

Key Responsibilities

· Sequence, prioritize, follow up, and multi-task, multiple provider inputs

Surgeon Specialties

· Breast: One year of experience in and knowledge of breast related surgical coding/procedure preferred

· Gynecological: One year of experience in and knowledge of gynecological related surgical coding/procedure preferred

· Other: One year of broad-based/general experience in surgical coding/procedure preferred

“Pride Global offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto home insurance, pet insurance, and employee discounts with preferred vendors. “

Company DescriptionPride Health is a leading minority-owned healthcare recruitment & staffing firm that offers highly customized business process solutions at cost-effective prices.
Headquartered in New York City as a top minority supplier, PRIDE Health offers a broad geographic reach with offices throughout the U.S., India, and Brazil. Leveraging more than 20 years of experience, PRIDE has enhanced its core competency of IT staffing services by creating client-centric, cost-effective IT, and business process solutions. PRIDE serves Client-Partners in the healthcare, IT, financial services, retail and insurance industries offering both Direct Hire and Temporary Staff of Healthcare Professionals, Vendor Management Systems, IT Hardware Procurement Services, and Business Processing Outsourcing.

Temporary, Contract, Per Diem & Direct Hire staffing solutions are only part of what we can offer our clients.Company DescriptionPride Health is a leading minority-owned healthcare recruitment & staffing firm that offers highly customized business process solutions at cost-effective prices.\r
Headquartered in New York City as a top minority supplier, PRIDE Health offers a broad geographic reach with offices throughout the U.S., India, and Brazil. Leveraging more than 20 years of experience, PRIDE has enhanced its core competency of IT staffing services by creating client-centric, cost-effective IT, and business process solutions. PRIDE serves Client-Partners in the healthcare, IT, financial services, retail and insurance industries offering both Direct Hire and Temporary Staff of Healthcare Professionals, Vendor Management Systems, IT Hardware Procurement Services, and Business Processing Outsourcing.\r
\r
Temporary, Contract, Per Diem & Direct Hire staffing solutions are only part of what we can offer our clients.

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