ASC Coordinator

Revive Orthopedics•,

1d•Remote

About The Position

The Surgical Services Coordinator manages the end to end process that moves a patient from a provider's procedure order to a confirmed, authorized, and financially cleared date on the surgery schedule. The position schedules procedures at the ambulatory surgery center, obtains insurance precertification and prior authorization, calculates and collects deposits for both physician and facility fees, and serves as the patient's point of contact for scheduling and financial questions. The role acts as the liaison between patients, providers, insurance carriers, the ASC, and outside facilities to protect on time starts, clean claims, and an accurate patient financial experience.

Requirements

High school diploma or equivalent.
Working knowledge of medical terminology, orthopedic and spine procedures, and CPT and ICD-10 coding as it applies to authorization.
Experience with commercial insurance, Medicare, Medicaid, workers compensation, and personal injury payers.
Proficiency in EMR (Athena Health) and practice management systems.
Demonstrated accuracy with numbers and the ability to explain a cost estimate to a patient clearly.
Strong organizational, follow through, and written communication skills.

Nice To Haves

Experience in an orthopedic, spine, sports medicine, or surgical specialty practice.
Prior experience in an ambulatory surgery center setting.
Experience with surgical scheduling and surgical billing workflows.
Bilingual English and Spanish.

Responsibilities

Schedule procedures at the ambulatory surgery center and coordinate dates with the provider, the patient, and facility staff.
Review provider orders and scheduling requests for completeness and accuracy before the case is placed on the schedule.
Enter required notation in three places for every case: the order, the appointment note line, and the authorization record in the system.
Confirm pre-procedure requirements are in place, including medical clearance, imaging, and supporting clinical documentation.
Communicate schedule changes, add ons, and cancellations to affected providers, clinical staff, and patients.
Coordinate scheduling for cases performed at outside facilities when applicable.
Verify insurance eligibility, benefits, and preauthorization requirements for orthopedic, spine, and pain procedures.
Submit prior authorization requests through payer portals, fax, telephone, or electronic systems.
Obtain and document authorization numbers, approved CPT codes, effective dates, units, and expiration dates.
Follow up on pending authorizations on a defined cadence and escalate cases at risk of missing the scheduled date.
Coordinate peer to peer reviews when requested by the insurance carrier and schedule them with the provider.
Appeal denied authorization requests and supply supporting clinical documentation.
Communicate approvals, denials, and pending status to providers, clinical staff, billing, and patients.
Maintain current knowledge of payer guidelines, medical policy, and conservative care requirements for orthopedic and spine procedures.
Calculate estimated patient responsibility for both the physician professional fee and the facility fee, using verified benefits and contracted rates.
Verify deductible, coinsurance, copay, and out of pocket status prior to the procedure date.
Contact patients before the procedure to review their estimated financial responsibility and payment expectations.
Collect surgery and procedure deposits in accordance with practice and ASC financial policy.
Process payments accurately through approved payment systems and issue receipts.
Establish payment arrangements within the limits set by practice policy and route exceptions to the Director of Practice Operations.
Provide a Good Faith Estimate to uninsured and self pay patients at scheduling or on request, consistent with No Surprises Act requirements.
Document every financial conversation, quoted estimate, deposit, and payment arrangement in the patient account.
Answer patient calls regarding procedures, scheduling, authorization status, and financial questions.
Explain benefits, coverage limits, and practice financial policy in plain language the patient can act on.
Update patient accounts and maintain accurate, current documentation in the practice management and EMR systems.
Keep documentation complete enough that any team member can pick up a case and know exactly where it stands.
Check patient balances and follow up on outstanding patient payments.
Complete medication reports.
Process medical records requests as provider notes are completed, in accordance with HIPAA release requirements and practice turnaround standards.