Surgery Scheduler/Triage (South Austin & Kyle Clinics) - Texas Orthopedics

Ortholonestar•Austin, TX

1d•Hybrid

About The Position

Oversees and coordinates all clinical care outside of the clinic office visit to provide concierge customer service while ensuring that quality and patient safety expectations are met. Coordinate and communicate timely with patients, providers, and third parties on all incoming inquiries as well as following up on action items throughout the patient’s recovery.

Requirements

High school diploma or GED
Two years as a medical assistant with hospital, home health, or office experience; preferably orthopedics related
Two years of surgery scheduling preferred
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

Nice To Haves

Current Medical Assistant certification (CMA) preferred

Responsibilities

Receiving, documenting, and handling in-coming calls.
Scheduling surgeries, MRI’s, CT scans, Myelograms, Epidurals, etc., including pre-op, follow-up and initial PT appointments at appropriate facilities.
Completing surgery checklist with appropriate information & knowledge of each physician’s schedule and surgery guidelines.
Submitting medical records, working with the provider on necessary documentation, if necessary, to obtain pre-authorization as needed.
Consulting with the appropriate provider to obtain clearance that treatment regimen is considered medically necessary before initiating request to the insurance plan.
Closely monitoring the authorization process and keeping physician and patient updated as needed.
Documenting accurately in the electronic medical record all necessary authorization numbers and effective dates for the episode of care.
Scheduling Peer-to-Peer calls when necessary.
Assisting with obtaining prior-auth including eligibility verification and an estimate for what the patient is expected to pay.
Issuing prescriptions, physical therapy orders, home exercises, work restrictions, and other orders per physician instruction and assisting in patient education.
Ensuring all medication requests received before 4 p.m. and all patient cases are responded to on the same business day. If an answer cannot be obtained, the patient is notified that their question will be addressed the next business day.
Facilitating capture of patients’ opioid history for physician review.
Queuing lab results into system through EMR interface.
Scheduling appointments for patients when needed.
Reviewing assigned physician’s surgery schedule in advance for quality assurance and making corrections as needed.
Working with the Surgery Coordinator/Triage Team Lead and Office Manager to coordinate training of physician’s preferences.
Tracking all adverse events such as post-operative complications and hospital readmissions accordingly.
Facilitating the capture of patient reported outcomes through appropriate platform.
Monitoring assigned voicemail and returning calls same day.
Maintaining all information in the strictest confidentiality.
Providing coverage for peers when assigned.
Some travel to other locations required.
All other duties as assigned.