Surgery Coordinator

CQ Partners•Roswell, GA

About The Position

The Surgery Coordinator is responsible for scheduling surgeries and related appointments, verifying insurance coverage, and obtaining required precertifications. The role involves communicating with patients and parents, managed care organizations, physicians, and hospital and outpatient surgery scheduling departments while providing polite, professional customer service. The coordinator also manages the physician’s daily calendar, including blocking schedules when needed, confirming appointments, and sending daily reminders. At the decision for surgery, the coordinator contacts the patient or parent to schedule the procedure and explain surgery protocols. The coordinator prepares and emails surgery information packets, answers questions or routes them to the appropriate person, and informs parents about insurance benefits and amounts due to North Fulton ENT before surgery. The role maintains records of verified surgeries for the reimbursement department, stays current with carrier requirements, and helps ensure accurate procedure and diagnosis coding during verification and precertification. The coordinator coordinates cases with North Fulton ENT physicians and outside surgeons, obtains operative reports for physician review after surgery, and assists physicians with in-office procedures. The position is also cross-trained to fill in as needed in medical assistant roles in Roswell and Cumming.

Requirements

Excellent communication skills.
Ability to provide polite and professional customer service to patients, parents, managed care organizations, physicians, and hospital and outpatient surgery scheduling departments.

Responsibilities

Check and respond to emails and return voicemails daily.
Contact patients or parents when surgery is decided upon to schedule the procedure and explain surgery protocols.
Schedule preoperative and postoperative appointments.
Prepare surgery information packets and email surgery information to parents.
Answer patient or parent questions about surgery and procedures, or route questions to the appropriate person.
Notify parents of insurance benefits and any amount due to North Fulton ENT before surgery.
Verify surgeries and procedures with insurance plans.
Obtain precertification for surgeries and procedures when required.
Maintain records of verified surgeries and procedures for the reimbursement department.
Keep current with carrier requirements to help ensure requirements are met and maximize reimbursement potential.
Ensure appropriate procedure and diagnosis coding is used in the precertification and verification process, and ask physicians to clarify information for accuracy and completeness.
Coordinate cases with North Fulton ENT physicians and surgeons outside the practice.
Obtain operative reports for physicians to review after surgery.
Manage the physician’s daily calendar, including blocking schedules as needed, confirming appointments, and sending daily reminders.
Assist physicians with in-office procedures.
Cross-train and fill in as needed in medical assistant roles in Roswell and Cumming.