Surgical Coordinator

Methodist Health System•Mansfield, TX

About The Position

The Surgical Coordinator serves as the patient’s point of contact, maintaining open communication and coordinating an efficient path through registration, insurance verification, surgeon consultation, medical clearances, insurance approval, and ongoing care. The position supports the vision, mission, and strategic plans of Methodist Health System and works with multiple providers and facilities, including hospitals and ambulatory surgery centers. Travel to satellite clinic locations in Midlothian and Grand Prairie is required. The coordinator initiates patients into the surgery process, schedules consultations and procedures, communicates insurance coverage and financial responsibilities, secures authorizations and certifications, and ensures insurance criteria and medical clearances are complete. The role also supports patient education events, maintains relevant documentation and supplies, and assists other practice staff as needed.

Requirements

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

Responsibilities

Communicate clearly and openly with patients and coworkers in a professional, friendly, enthusiastic, and positive manner.
Build relationships and maintain effective, collaborative working relationships with practice staff, departments, providers, and facilities.
Review patient registration for completeness and verify insurance, documenting information in the Practice Management System/EMR.
Obtain prior authorizations, precertifications, and predeterminations for procedures, including general surgery.
Initiate patients into the surgery pipeline, advocate for patients, and schedule initial surgeon consultations.
Handle physician referrals, ensure referring physician information is entered in the practice management system/EMR, and acknowledge referrals while updating referring parties on patient verification and progress.
Communicate insurance benefits, deductibles, coinsurance, financial responsibilities, and required medical testing or screening to patients.
Prepare and submit Letters of Medical Necessity and ensure insurance criteria and medical clearances are complete.
Submit case orders to facilities, educate patients about procedures and preparation, provide estimates, confirm procedures, and reschedule patients when necessary.
Schedule procedures at multiple facilities and through EMR referral work queues, Leading Reach, and Right Fax; maintain collaborative relationships with facilities.
Upon insurance approval, notify patients, collect fees due, schedule preoperative consultations, communicate surgery dates, and schedule one-week postoperative appointments.
Handle insurance appeals and denials in conjunction with patient care.
Maintain current surgery criteria for insurance providers and inform staff of changes or updates.
Work with the practice manager to maintain provider block templates and schedule patients with multiple providers.
Answer calls and return voicemails by the end of the day; maintain EMR documentation.
Maintain the sample closet, prep forms, folder supplies, and related documentation.
Handle prescriptions, collect copayments, and balance the drawer at the end of the day.
Participate in patient education seminars and meet-the-doctor events, educate interested parties about the surgery program, and prepare physical space for events.
Assist other staff members and take on assignments as needed to support high-quality patient care.
Be accountable for performance, seek improvements to the patient experience, pursue professional growth, and contribute to a collaborative team.