POSITION SUMMARY STATEMENT:
Secures necessary patient information relating to the scheduling and/or processing of surgical procedures. Schedules surgeries and performs required procedures including documentation. Complies with all applicable state and federal regulations. Coordinates information provided for business services functions including CPT-4 and ICD-9 coding.
MINIMUM QUALIFICATIONS:
Knowledge, Skills, and Abilities:
- Medical terminology and CPT-4 coding knowledge required.
- Microsoft Office
REFERRED QUALIFICATIONS:
Education, Experience or Equivalent Combination:
- 2 or more years related experience in a health care environment.
Knowledge, Skills, and Abilities:
- Detail oriented individual with strong human relation and organizational skills.
ESSENTIAL DUTIES:
- Coordinate in-patient and out-patient procedures and exams for appropriate locations providing all pre-registration information to medical facilities. Coordinate related information pertaining to patient medications.
- Secure all prior authorization, precertification, and referrals from federal and state government agencies and out-of-plan referring physicians, while completing all required forms and documentation.
- Ensure accuracy, confirm and update pending physician's review. Proactively recognize and solve problems arising from insurance, billing, government regulations, and customer service.
- Assist Business Services/Coding departments on procedures, insurance requirements; provides information requested by those departments. Coordinates communication of fee and coding issues between physician and business services.
- Administrative tasks to support Surgeon. These tasks may include:
- Prep surgery packets for patients, explain preparation for surgery/sage wipes, etc.
- Coordinates lecture schedules, seminar attendance, credentialing for hospital procedures, and completes necessary travel and entertainment arrangements as required by physicians.
- Create and maintain weekly/monthly surgeon itineraries and calendars.
- Performs other tasks as assigned.