Breast Surgery Support Coordinator II-Grapevine, Tx

The US Oncology Network•Grapevine, TX

1d•Onsite

About The Position

The US Oncology Network is looking for a Surgical Support Coordinator II to join our team at Texas Oncology! This position will support the Texas Breast Specialists at our Grapevine and Irving, Tx location. Typical work week is Monday through Friday 8:30a - 5:00p. As a part of The US Oncology Network, Texas Oncology delivers high-quality, evidence-based care to patients close to home. Texas Oncology is the largest community oncology provider in the country and has approximately 530 providers in 280+ sites across Texas, our founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby. Our mission is still the same today—at Texas Oncology, we use leading-edge technology and research to deliver high-quality, evidence-based cancer care to help our patients achieve “More breakthroughs. More victories.” ® in their fight against cancer. Today, Texas Oncology treats half of all Texans diagnosed with cancer on an annual basis. The US Oncology Network is one of the nation’s largest networks of community-based oncology physicians dedicated to advancing cancer care in America. The US Oncology Network is supported by McKesson Corporation focused on empowering a vibrant and sustainable community patient care delivery system to advance the science, technology, and quality of care.

Requirements

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 their benefits plan (as applicable).
Knowledge of medical and surgical terminology required.
Must have excellent communication skills, written and verbal, with ability to multitask.
Proficiency with computer systems and Microsoft Office (Outlook, Word, and Excel) required.
Complete tasks associated with case scheduling to include completion of all required pre-surgery/procedure tasks, based on type of case.
Work closely with physician to understand preferences for sequencing of cases for each day.
Three years of experience working with a surgeon in a full service capacity for the patient from financial coordination to surgical procedure.
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.
Sequence, prioritize, follow up, and multi-task, multiple provider inputs.

Nice To Haves

Five years of experience preferred working with multiple surgeons, setting and preparing for surgical procedures.
One year of experience in and knowledge of breast related surgical coding/procedure preferred
One year of experience in and knowledge of gynecological related surgical coding/procedure preferred.

Responsibilities

Plan, implement, coordinate, evaluate and promote the continuity of care consistent with established standards and practices.
Review with patient, their medications and health history; may impact surgical clearance from other care providers.
Coordinate tasks associated with case scheduling to include completion of all required pre-surgery/procedure tasks, based on type of case: Coordinate pre-operative appointments with/for the patient Notify any needed representatives of surgery case (e.g., Vendors, First Assists, etc.)
Confirm/verify if a special product needs to be ordered for the case Coordinate, schedule, and authorize pre-operative clearance testing and any diagnostic imaging, (e.g., CT, MRI, US, X-Ray)
Complete & send all required scheduling documentation to surgical facility (include authorization/pending authorization info).
Complete and send History and Physical, surgical order, and any required documentation to physician for review/signature.
Complete & send surgical facility consent form with patient & physician signature
May manage “Global Period” alerts in EMR and/or Practice Management System for applicable surgeries
Scan any surgery documents into EMR as applicable (e.g. signed surgery orders, consents, cardiac clearance, authorizations).
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.