Medical Coordinator

Pinehurst Resort; Pinehurst (NC); On-site; USD 32,000 - 42,000; Full time

Job summary

Pinehurst Resort seeks a Direct Hire Medical Coordinator with Surgery Scheduling to oversee patient access, scheduling, insurance coordination, and administrative workflow across a multi-specialty clinic.

This role ensures accurate scheduling, insurance verification, and care coordination to support provider productivity, regulatory compliance, and patient satisfaction, reinforcing standardized scheduling practices within the department.

Responsibilities

• Answer incoming calls using approved scripting and route clinical inquiries per clinic policy
• Escalate urgent requests immediately and return non-urgent calls within one business day
• Register new patients and verify demographic and insurance information
• Provide appointment instructions, directions, and pre-visit preparation guidance
• Maintain accurate message documentation and communication with providers and staff
• Verify insurance eligibility and benefits prior to scheduling
• Assess referral requirements and contracted carrier participation
• Complete pre-certifications and communicate with insurance carriers
• Coordinate with financial counselors regarding patient financial responsibility
• Ensure accurate documentation to support compliant billing practices
• Schedule surgical procedures, diagnostic testing, and related appointments
• Ensure completion of pre-operative documentation and required authorizations
• Enter and track provider orders through completion
• Monitor pending results and notify appropriate staff of delays
• Provide coverage for the Surgical Coordinator as needed
• Process incoming/outgoing faxes and maintain documentation logs
• Manage provider schedule changes and communicate updates appropriately

Job description

JOB SUMMARY

The Direct Hire Medical Coordinator with Surgery Scheduling is responsible for patient access, surgical scheduling, insurance coordination, and administrative workflow support within a multi-specialty surgical clinic. This role ensures accurate scheduling, insurance verification, and care coordination across the continuum of care to support provider productivity, regulatory compliance, and patient satisfaction.

Description

The Direct Hire Medical Coordinator with Surgery Scheduling is responsible for patient access, surgical scheduling, insurance coordination, and administrative workflow support within a multi-specialty surgical clinic. This role ensures accurate scheduling, insurance verification, and care coordination across the continuum of care to support provider productivity, regulatory compliance, and patient satisfaction.

As a direct hire team member, this position reinforces standardized scheduling practices, workflow consistency, and operational reliability within the department.

Responsibilities

Patient Access & Communication

• Answer incoming calls using approved scripting and route clinical inquiries per clinic policy
• Escalate urgent requests immediately and return non-urgent calls within one business day
• Register new patients and verify demographic and insurance information
• Provide appointment instructions, directions, and pre-visit preparation guidance
• Maintain accurate message documentation and communication with providers and staff

Insurance Verification & Authorization

• Verify insurance eligibility and benefits prior to scheduling
• Assess referral requirements and contracted carrier participation
• Complete pre-certifications and communicate with insurance carriers
• Coordinate with financial counselors regarding patient financial responsibility
• Ensure accurate documentation to support compliant billing practices

Surgery Scheduling & Care Coordination

• Schedule surgical procedures, diagnostic testing, and related appointments
• Ensure completion of pre-operative documentation and required authorizations
• Enter and track provider orders through completion
• Monitor pending results and notify appropriate staff of delays
• Provide coverage for the Surgical Coordinator as needed

Administrative & Operational Support

• Process incoming/outgoing faxes and maintain documentation logs
• Manage provider schedule changes and communicate updates appropriately