Neurosurgery Surgical Coordinator

Methodist Health System•Mansfield, TX

1d•Onsite

About The Position

The Neurosurgery Surgical Coordinator serves as the primary patient contact within the practice, ensuring open communication and managing the patient's journey from initial contact through surgical approval and post-operative care. This role is crucial for maintaining an efficient patient flow, verifying insurance, coordinating consultations, and ensuring all necessary criteria and clearances are met for surgical procedures. The coordinator advocates for the patient throughout the process and collaborates with various departments to provide the highest quality of patient care.

Requirements

High School Diploma and/or GED equivalent
Very strong proficiency using Microsoft Office products
Superior oral and written communication skills
Strong process orientation
Demonstrated capability to interface and maintain effective relationships with all departments and employees in a team-oriented environment

Responsibilities

Serve as the patient point of contact with the practice to maintain open channels of communication.
Keep patients engaged and maintain an efficient flow of patients from registration through the surgical pathway.
Ensure completion of insurance verification, program criteria, and medical clearances for submission to insurance providers.
Support and promote the vision, mission, and strategic plans of Methodist Health System.
Review patient registration to ensure completeness.
Verify all insurance and note it in the Practice Management System/EMR.
Maintain current surgery criteria with insurance providers and inform staff of any changes/updates.
Communicate clearly and openly with patients and coworkers in a professional, enthusiastic, friendly, and positive manner.
Initiate patients into the surgery pipeline and serve as their advocate.
Schedule initial consultations with the surgeon.
Communicate insurance benefits, deductibles, coinsurance, financial responsibilities, and any additional medical testing/screening to patients.
Secure Pre-determinations & Pre-Certifications for all procedures.
Handle physician referrals to the practice, ensuring doctor's information is in the system.
Acknowledge referrals and notify relevant parties that the patient is verified, assigned, contacted, and initiated into the surgery process.
Prepare and submit Letters of Medical Necessity, ensuring all insurance criteria & medical clearances are completed.
Upon insurance approval, communicate approval to the patient, collect financial fees, schedule pre-op consultation, advise of surgery date, and schedule the 1-week post-op appointment.
Handle all appeals and denials in conjunction with the patient's care.
Participate in patient education seminars or 'meet the doctor' events, educating interested parties about the surgery program.
Prepare physical space for seminars/events.
Assist other staff members to deliver the highest quality of patient care, acting as a team player to execute duties as needed by the practice.