Surgical Coordinator

Spire Orthopedic Partners•Warwick, RI

About The Position

The objective of the Surgical Scheduler role is to help support the surgical scheduling department by creating an effortless patient experience by providing a team-based approach to patient care and an exceptional patient experience. Surgical Scheduler will emphasize highly personalized care and help patients surpass barriers to healthcare by improving the patient/provider relationship.

Requirements

High school diploma or equivalent. Associate degree or higher is preferred.
Ability to use computerized systems and experience with Electronic Medical Records systems, especially GE Centricity.
Minimum one-year experience in surgery or procedure scheduling in a medical practice.
Must have ability to work well under pressure and use sound judgment consistently.
Must possess strong verbal and written communications skills.
Must be highly organized and comfortable providing excellent internal and external customer service.

Responsibilities

Welcomes patients by greeting them, in person or on the telephone, answering or referring to inquiries.
Scheduling of all surgical cases for all physicians at the appropriate facility
Ensure that correct surgical equipment is ordered.
Coordinates scheduling of all pre-admission testing, lab work, and diagnostic imaging as applicable
Obtain medical clearance from PCP and specialists as indicated.
Confirm that cases are scheduled with the correct facility.
Maintains and updates surgical schedule daily.
Communicates all changes to the appropriate departments and staff.
Confirm accurate completion of H&P and consent for each patient.
Confirm and order cases the day prior to surgical day.
Prints and distributes daily schedule to physicians, including any necessary patient paperwork.
Remain accountable and follow through on all commitments made to patients.
Assist physicians with billing submission.
Communicate effectively with patients, clinical staff, and physicians.
Responsible for reviewing for accuracy of information requested and received regarding precertification and/or prior authorization numbers received, as well as supporting documents.
Responsible for uploading into EHR software system, authorization numbers, time spans/number of procedures, etc. and supporting documentation upon verification that procedures are authorized as requested.
Responsible for monitoring and tracking of authorization requests and expiring authorizations.
Obtain prior authorizations as needed for preoperative imaging studies.
Utilize eligibility/registration software.
Sending clinical documentation as needed to insurance companies.
Responsible for the use of and documentation in, EHR software system as the official medical record, following appropriate guidelines for documenting.
Update facility of patient authorization status and confirm receipt of authorization.
Set up peer-to-peer as needed.
Send appeals as needed.
Communicate effectively with clinical staff and facilities on authorization statuses.