Surgery Scheduler/Triage (Round Rock Clinic) - Texas Orthopedics (2592)

ORTHOLONESTAR•Round Rock, TX

7d•$20 - $26•Onsite

About The Position

The Surgery Scheduler/Triage oversees and coordinates clinical care outside of clinic office visits, providing concierge customer service while ensuring quality and patient safety expectations are met. The role coordinates timely communication with patients, providers, and third parties regarding incoming inquiries and follows up on action items throughout patients’ recovery. The position handles incoming calls and coordinates surgeries, imaging and other procedures, pre-operative and follow-up appointments, and initial physical therapy appointments. It supports authorization and insurance processes, manages patient and provider updates, documents authorization information in the electronic medical record, and communicates physician-directed prescriptions, orders, and patient education. The role also tracks adverse events and patient-reported outcomes, reviews surgery schedules for quality assurance, maintains confidentiality, and provides peer coverage when assigned. Travel to other locations is required.

Requirements

High school diploma or GED.
Two years of experience as a medical assistant in a hospital, home health, or office setting.
Knowledge of computer systems and applications.
Knowledge of medical terminology.
Pharmaceutical knowledge.
Ability to work in a fast-paced environment.
Attention to detail.
Excellent problem-solving skills.
Ability to sit for extended periods.
Ability to lift and carry items weighing up to 50 pounds.
Full range of motion.
Adequate visual acuity to read and ability to interpret and understand written material.
Adequate hearing and speaking abilities to interact appropriately with patients and co-workers.

Nice To Haves

Orthopedics-related medical assistant experience.
Two years of surgery scheduling experience.
Current Medical Assistant certification (CMA).

Responsibilities

Receive, document, and handle incoming calls.
Schedule surgeries, MRI scans, CT scans, myelograms, epidurals, and related pre-operative, follow-up, and initial physical therapy appointments at appropriate facilities.
Complete surgery checklists using appropriate information and knowledge of each physician’s schedule and surgery guidelines.
Submit medical records and work with providers on necessary documentation to obtain pre-authorization.
Consult with the appropriate provider to confirm a treatment regimen is medically necessary before submitting a request to the insurance plan.
Monitor the authorization process and keep physicians and patients updated as needed.
Accurately document authorization numbers and effective dates for each episode of care in the electronic medical record.
Schedule Peer-to-Peer calls when necessary.
Assist with prior authorization, eligibility verification, and estimates of patients’ expected costs.
Issue prescriptions, physical therapy orders, home exercises, work restrictions, and other orders according to physician instructions, and assist with patient education.
Help ensure medication requests received before 4 p.m. and patient cases are answered the same business day; notify patients when an answer will instead be provided the next business day.
Facilitate capture of patients’ opioid history for physician review.
Queue lab results into the system through the EMR interface.
Schedule patient appointments when needed.
Review the assigned physician’s surgery schedule in advance for quality assurance and make corrections as needed.
Work with the Surgery Coordinator/Triage Team Lead and Office Manager to coordinate training on physician preferences.
Track adverse events, including post-operative complications and hospital readmissions.
Facilitate collection of patient-reported outcomes through the appropriate platform.
Monitor assigned voicemail and return calls the same day.
Maintain information in strict confidentiality.
Provide coverage for peers when assigned.
Travel to other locations as required.
Perform other duties as assigned.