Surgical Coordinator

2 weeks ago

Washington, United States Children's National Hospital Full time
Job Summary

We are seeking a highly skilled Surgical Coordinator - Interventional Radiology to join our team at Children's National Hospital. This role will be responsible for scheduling, pre-certifying, and verifying insurance eligibility for patients undergoing surgical procedures in the Interventional Radiology department.

Key Responsibilities
  • Schedule and pre-certify patients for surgical procedures in the Interventional Radiology department
  • Verify insurance eligibility and benefits, including co-pay and deductible
  • Document procedure information for Children's National Hospital and outside hospitals and surgery centers
  • Work with parents and other departments to schedule patients in a timely manner
  • Verify guardianship/custody issues and coordinate vendor or specialized equipment required for surgical procedures
Qualifications
  • High School Diploma or GED (Required)
  • 3 years of progressive experience in patient registration and scheduling, medical insurance verification, preferably in a hospital or physician's office as a receptionist
  • Proficient in Cerner and/or similar EMR, CNHS HBOC, and PPM/PSM systems
  • Excellent verbal, interpersonal, consumer relations, and telephone skills
  • Knowledge of medical insurance verification procedures, insurance screening, and financial counseling, billing, and healthcare business operations
Functional Accountabilities
  • Patient Service Activities
    • Registration and Scheduling: Process patient Surgical Plan of Care from Physician
    • Confirm and correct computer-aided, on-line registration with parent/guardian via telephone or in person in a courteous and consumer-orientated manner; collect personal and insurance information
    • Discuss co-payment, deposits, or payment in full requirements with parents prior to scheduled appointment; counsel parent or refer parent to Medlaw for financial counseling or establishing payment schedule
    • Contact and verify insurance company in a timely manner to pre-certify procedure, document pre-certification notes in Cerner registration; contact PCP's for referrals and/or H&P's as needed
    • Coordinates various diagnostic tests; call parent/guardian to schedule procedure, work with both the surgeon's and parent's schedules, as well as possibly other physician's schedules for joint procedures; schedule patients for an appointment with physician, nurse, or technical personnel using the on-line scheduling system (Cerner); send parent a confirmation letter of procedure as well as other information relating to the surgical experience
    • Coordinate admission and/or procedure with other departments per patient needs; follow-up with each parent/patient until procedure is scheduled
  • Cerner System Management: Post case in Cerner utilizing the policy guidelines; maximize operating room block time utilization; confirm cases with the OR Posting Office
  • Contact and receive authorization numbers for late rooms, use of open OR time, etc. Contact system managers immediately when problems occur
  • Confirmation of Procedure: Assure that a registration for the procedure is in the HBOC system at least two days prior to date of procedure
  • Confirm with parent/guardian; facilitate consents for patients who are wards of the state/district
  • Confirm that there is a Consent, Surgical Plan of Care, and History & Physical form for patients documented or scanned into the EMR prior to the DOS; retrieve any rescheduled patients' communication to ensure no delay on the day of service
  • Confirm and coordinate the schedule with surgical equipment representatives needed for the surgical procedure
Peer Support
  • Provide expertise and help to other schedulers to include cross-coverage
  • Share new insurance notifications and changes with the schedulers and managers
  • Notify AMSAC, the posting office, and P ACU nurses of any cancellations and add-on cases
Safety
  • Speak up when team members appear to exhibit unsafe behavior or performance
  • Continuously validate and verify information needed for decision making or documentation
  • Stop in the face of uncertainty and take time to resolve the situation
  • Demonstrate accurate, clear, and timely verbal and written communication
  • Actively promote safety for patients, families, visitors, and co-workers
  • Attend carefully to important details - practicing Stop, Think, Act, and Review in order to self-check behavior and performance
Organizational Accountabilities
  • Assumes responsibility for all aspects of the patients' procedures; follows up with scheduling, pending authorizations, registrations, and any other possible patient needs even when other departments are involved with the care of the patient
  • Pays attention to detail throughout the surgical scheduling process
  • Perform routine Quality Control to ensure accuracy in scheduling
Organizational Commitment/Identification
  • Partner in the mission and upholds the core principles of the organization
  • Committed to diversity and recognizes the value of cultural ethnic differences
  • Demonstrate personal and professional integrity
  • Maintain confidentiality at all times
Customer Service
  • Anticipate and responds to customer needs; follows up until needs are met
Teamwork/Communication
  • Demonstrate collaborative and respectful behavior
  • Partner with all team members to achieve goals
  • Receptive to others' ideas and opinions
Performance Improvement/Problem-solving
  • Contribute to a positive work environment
  • Demonstrate flexibility and willingness to change
  • Identify opportunities to improve clinical and administrative processes
  • Make appropriate decisions, using sound judgment
Cost Management/Financial Responsibility
  • Use resources efficiently
  • Search for less costly ways of doing things

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