Job Duties
Under the supervision of the Department Director, Ambulatory Administrator, or Office Manager, directs, coordinates and facilitates the surgical scheduling activities of all clinic physicians. Utilizes appropriate administrative, financial and operational policies and procedures to facilitate continuity of care for the surgical patient. Acts as liaison between the department and other surgical and financial areas.
Essential Functions
• Coordinates the scheduling of pre-operative appointments to include preadmission testing, history and physical, and other associated tests or services related to the surgical procedure.
• Instructs patients on administrative, financial and pre-operative processes.
• Verifies insurance coverage, obtains authorization, submits clinical information as required and communicates with patient, vendors, surgeon and hospital abreast of the surgical plan.
• Provides excellent customer service for patients/families/representatives and other members of the treatment team.
• Utilizes the internal surgical scheduling EPIC application and external scheduling processes.
• Identifies and requests specialized equipment and/or personnel required by the physicians for performance of each surgical case.
• Review reports to determine if procedures authorized match procedures performed. Reviews reports to determine if authorization is required for unscheduled surgeries performed after hours.
• Prepares reports as requested, educates staff members and physicians in new processes, policies and procedures.
• Participates as an active care team member in the coordination of patient care.
• Attends and actively listens and participates in the regularly scheduled Referral Coordinator and/or Surgical Coordinator training sessions and meetings.
Temperament
Adhere to company policies and procedures, demonstrate the core values and Hospitality behaviors, resolve conflict through open, honest, professional communication, demonstrate positive and enthusiastic attitude, keep supervisor and leadership apprised of issues, and seek opportunities to recognize others.
Qualifications:Skills, Knowledge, Abilities
• Demonstrated knowledge of specialty surgical procedures with associated acuity levels and specialized equipment, ancillary services and staffing needs.
• Ability to manage multiple priorities and anticipate provider and patient needs.
• Ability to manage multiple priorities and meet deadlines.
• Attention to detail and quality of work.
• Knowledge of CPT ICD- and HCPCS coding and medical terminology.
• Knowledge of information systems related to ambulatory care settings.
• Working knowledge of HMOs, Medicare, Medicaid, PPO and third party payers.
Experience Requirements
2 years working in an Ambulatory Healthcare environment required
2 years customer service required
2 years working with third party payors (insurance carriers) required
Education Requirements
High School Diploma or GED required
UFJPI is an Equal Opportunity Employer and Drug Free Workplace