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Surgical Case Coordinator and Scheduler
2 months ago
We are seeking a dedicated Surgical Case Coordinator and Scheduler responsible for overseeing the entire surgical process. This includes managing pre-authorizations, pre-operative certifications, scheduling surgeries, educating patients, and handling all related post-operative responsibilities. The ideal candidate will possess a minimum of 5 years of experience in surgical scheduling and clinical authorizations.
Key Responsibilities
Authorization Management
- Supervise and secure surgery authorizations.
- Monitor the authorization workflow closely.
- Engage with insurance providers for pre-certifications.
- Submit all necessary documentation to third-party payers ahead of surgery dates.
- Manage authorizations for clinical assessments and diagnostic tests.
- Provide surgeons and billing departments with updates regarding authorizations, denials, or appeals.
- Facilitate peer-to-peer discussions as required.
Scheduling Duties
- Coordinate all surgical bookings with external facilities and manage any changes.
- Ensure all procedures are accurately entered into the computerized scheduling system.
- Promptly inform physicians, patients, and other stakeholders of any changes or cancellations.
- Oversee pre-operative clearance orders and ensure all necessary documentation is reviewed prior to surgery.
- Communicate essential pre-operative information and instructions to patients clearly and timely.
- Prepare surgical documentation efficiently and ensure submission to relevant parties.
- Provide regular confirmations and updates regarding upcoming surgeries.
- Monitor schedules for potential conflicts with other surgeries or clinic appointments.
- Collaborate with specialty surgeons for joint procedures.
- Collect operative reports from facilities and distribute accordingly.
- Send post-operative documentation to Billing and Coding departments.
Independent Medical Evaluations (IME)
- Organize and manage Independent Medical Evaluations.
- Communicate with relevant parties regarding IME coordination.
Additional Responsibilities
- Coordinate meetings or presentations with medical product vendors as directed.
- Maintain comprehensive knowledge of all practice areas and functions.
- Perform any other duties necessary to enhance patient care.
Required Skills
- Experience in a medical office setting and familiarity with the healthcare industry.
- Proven track record in customer service and teamwork.
- Exceptional communication and organizational abilities.
- Ability to interact effectively with patients, providers, and third-party payers.
- Strong computer proficiency, particularly in Microsoft Office applications.
Benefits Offered
- Health insurance coverage
- Dental insurance options
- Paid time off
Work Schedule
Monday to Thursday: 6:30 AM – 3:30 PM, Friday: 6:30 AM – 11:30 AM
This role also requires participation in coverage for vacations and illness when other staff members are unavailable.