Surgical Coordinator

Methodist Health System•Mansfield, TX

About The Position

The Surgical Coordinator serves as the patient’s point of contact with the practice and maintains open communication throughout the surgical pathway. The role supports an efficient patient flow from registration, insurance verification, and initial contact through surgeon consultation, completion of insurance and program criteria, medical clearances, insurance approval, and ongoing care. The coordinator supports the vision, mission, and strategic plans of Methodist Health System and works with multiple providers and facilities, including hospitals and ambulatory surgery centers. The position includes travel to satellite clinic locations in Midlothian and Grand Prairie.

Requirements

High school diploma or GED equivalent.
Certified Medical Assistant.
Very strong proficiency with Microsoft Office products.
Superior oral and written communication skills.
Strong process orientation.
Demonstrated ability to interface and maintain effective relationships with departments and employees in a team-oriented environment.

Responsibilities

Review patient registrations to ensure they are complete.
Verify insurance coverage and document it in the practice management system or EMR.
Obtain prior authorizations, predeterminations, and precertifications for procedures, including general surgery.
Submit case preparation orders to facilities and schedule patients at multiple hospitals and ambulatory surgery centers.
Educate patients about procedures and preparation requirements, communicate benefits and financial responsibilities, and provide patient estimates.
Confirm and reschedule surgical procedures as needed, and coordinate provider block templates with the practice manager.
Build and maintain collaborative relationships with facilities and practice departments.
Schedule through multiple portals and systems, including the EMR referral work queue, Leading Reach, and Right Fax.
Maintain EMR documentation, the sample closet, preparation forms, and folder supplies.
Answer calls and return voicemails by the end of the day.
Maintain current knowledge of insurance surgery criteria and inform staff about changes or updates.
Initiate patients into the surgery pipeline, advocate for them, and schedule initial consultations with surgeons.
Handle physician referrals, ensure referring physician information is entered in the practice management system or EMR, and acknowledge referrals and update referring offices on patient verification and progress.
Prepare and submit Letters of Medical Necessity and ensure insurance criteria and medical clearances are complete.
After insurance approval, notify patients, collect applicable financial fees, schedule preoperative consultations, communicate surgery dates, and schedule one-week postoperative appointments.
Handle appeals and denials in coordination with patient care.
Participate in patient education seminars and meet-the-doctor events, educate interested parties about the surgery program, and prepare the physical space for events.
Handle prescriptions, collect copayments, and balance the drawer at the end of the day.
Travel to satellite clinic locations in Midlothian and Grand Prairie.
Assist other staff and take on other assignments as needed to support patient care and practice operations.
Communicate clearly and professionally, build collaborative relationships, remain accountable, seek improvements to the patient experience, pursue professional growth, and contribute to a strong team.