Surgical Coordinator

Methodist Health System•Mansfield, TX

68d•Onsite

About The Position

The Surgical Coordinator professional is responsible for serving as the patient's point of contact with the practice. This role maintains open channels of communication to keep patients engaged and ensures an efficient flow of patients through the surgical pathway. This includes patient registration, insurance verification, initial contact, surgeon consultation, meeting insurance and program criteria, and obtaining medical clearances for insurance provider approval. The coordinator supports the patient throughout their process of care and upholds the vision, mission, and strategic plans of Methodist Health System.

Requirements

High School Diploma and/or GED equivalent
Very strong proficiency using Microsoft Office products
Superior oral and written communication skills
Strong process orientation
Demonstrated capability to interface and maintain effective relationships with all departments and employees in a team-oriented environment

Responsibilities

Communicate clearly and openly
Build relationships to promote a collaborative environment
Be accountable for your performance
Always look for ways to improve the patient experience
Take initiative for your professional growth
Be engaged and eager to build a winning team
Reviews patient registration to ensure it is complete
Verifies all insurance and notes it in Practice Management System/EMR.
Responsible for maintaining surgery criteria current with insurance providers and informing staff of any changes/updates.
Communicate to patients and coworkers in a professional, enthusiastic, friendly and positive manner.
Initiates patient into surgery pipeline, serves as advocate for patient and schedules initial consultation with surgeon.
Communicates insurance benefits, deductibles, coinsurance, financial responsibilities and any additional medical testing/screening to patients.
Secures Pre-determinations & Pre-Certifications for all procedures as well as any general surgery.
Handle physician referrals to practice ensuring that doctor’s info is in the practice management system/EMR.
Referral is acknowledged and notified that patient is verified, assigned, contacted and initiated into surgery process.
Prepare and submit Letters of Medical Necessity and ensure that all insurance criteria & medical clearances have been completed.
Upon insurance approval, communicates approval to patient, collects financial fees due, schedules pre op consultation, advises patient of surgery date and schedules 1 week post op appointment.
Handle all appeals and denials in conjunction with patient's care.
Participate in patient education seminars or meet the doctor events with other members of practice staff, educating interested parties about the surgery program.
Prepare physical space for seminars/events.
Assist other staff members to deliver the highest quality of patient care which includes being a team player to execute not only your duties but those that are needed by the practice when necessary.