• Plan, implement, coordinate, evaluate and promote the continuity of care consistent with established standards and practices • Review with patient, their medications and health history; may impact surgical clearance from other care providers • Coordinate tasks associated with case scheduling to include completion of all required pre-surgery/procedure tasks, based on type of case: o Coordinate pre-operative appointments with/for the patient o Notify any needed representatives of surgery case (e.g., Vendors, First Assists, etc.) o Confirm/verify if a special product needs to be ordered for the case o Coordinate, schedule, and authorize pre-operative clearance testing and any diagnostic imaging, (e.g., CT, MRI, US, X-Ray) o Complete & send all required scheduling documentation to surgical facility (include authorization/pending authorization info) o Scan any surgery documents into EMR as applicable (e.g. signed surgery orders, consents, cardiac clearance, authorizations) • Review with patient name of procedure/surgery to be performed • Review with patient any embedded protocols, notifications and/or tasks to be completed • Discuss with patient any/all preparations including bowel preps • Confirm surgery scheduled date with the patient, facility and anesthesia • Requests and ensures appropriate authorizations are obtained in a timely/effective manner for all scheduled procedures/surgeries. o For insured patients, determines necessary authorization and pre-certification for surgery and other necessary surgical services with the proper Procedure (CPT) and Diagnosis codes (ICD-10} o Serve as a patient advocate and serves as a liaison between the patient, payor, office and facility to answer questions and escalate issues. o Maintains working knowledge of surgical authorization requirements to prevent delays and denials.
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Career Level
Mid Level
Education Level
No Education Listed