Practice Coordinator

Hanker Systems, Inc.; Los Angeles (CA); On-site; USD 65,000 - 90,000; Full time

Job summary

Hanker Systems, Inc. in Los Angeles is seeking an experienced Surgery Scheduling Coordinator to manage surgical scheduling, verify insurance, and obtain necessary clearances for patients undergoing surgery.

The ideal candidate has 3 years of experience with a large medical group and is familiar with HMO/PPO/POS plans; Epic experience is strongly preferred to coordinate referrals and workflows efficiently.

Qualifications

• 3 years of experience with a large medical group practice.
• Surgery scheduling experience in a high-volume setting.
• Knowledge of HMO, PPO, and POS insurance plans.
• Experience with Work Comp and WC cycle and protocols.

Responsibilities

• Performs surgery scheduling including verifying insurance, scheduling pre & post-operative appointments, obtaining health clearances, surgery authorizations, and scheduling surgical assistants; Ensure that all pre-operative studies are scheduled and completed prior to surgery.
• Manages physician referral work queues by completing referrals in Epic corresponding to PPC tasks.
• Provides customer service actions such as scheduling appointments, triaging calls by directing to appropriate individuals or departments, responding to patient questions and complaints, referring patient complaints appropriately to supervisor.
• Monitors workflow, coordinates with staff, assists in resolving issues, and liaises with billing and other departments to ensure timely reimbursement.

Skills

Surgery scheduling

Medical group practice experience

Patient/customer service

Education

HSD/GED

Bachelor's degree (strongly preferred)

Tools

Epic

Job description

• 3 years of experience with a large medical group practice
• Surgery scheduling experience in a high-volume setting
• Knowledge of HMO, PPO, and POS insurance plans
• Experience with Work Comp and WC cycle and protocols

Required

• HSD/GED
• 3 years of experience with a large medical group practice
• Surgery scheduling experience in a high-volume setting
• Knowledge of HMO, PPO, and POS insurance plans
• Experience with Work Comp and WC cycle and protocols

Preferred

• Bachelor's Degree (strongly preferred)
• Epic experience

Primary Duties And Responsibilities

Performs all functions related to surgery scheduling including verifying insurance, scheduling of patients pre & post-operative appointments, obtaining health clearances, surgery authorizations, and scheduling surgical assistants; Ensure that all pre-operative studies are scheduled and completed prior to surgery.

Manages physician referral work queues by completing referrals in Epic corresponding to PPC tasks.

Provides customer service actions such as, scheduling appointments, triaging calls by directing to appropriate individuals or departments, responding to patient questions and complaints, referring patient complaints appropriately to supervisor.

Manages physician practice in coordination with medical assistants and other appropriate staff. Trouble shoot patient/physician issues and takes appropriate action for resolution.

Handles administrative functions including physician correspondence, forms and request for authorizations, Cedars-Sinai med-legal patients, expense reports, calendar and other transcription needs when needed; Works with workers compensation adjusters, nurse case managers, submits WC request for authorizations, and follows up to obtain statuses and receipt of documentation.

Completes credentialing when necessary at all physician facilities, ensures CVs are updated and medical staff privileges are current (CA license & DEA).

Monitors work flow, assists in work assignments, recommends areas for improvement, interfaces/liaisons with other departments, assists in meeting/auditing

Coordinates MD mentoring opportunities with fellows, students, etc

Works with the billing and HIS departments to provide information for requested chart audits; Ensures that appropriate surgical reports, and daily clinic charges are sent to the billing department without delay for optimal reimbursement; Works closely with billing department to facilitate financial arrangements for individual patients.

Acts as a liaison between physician and patients in communicating surgery concerns; Provides surgical scheduling information, resource coordination, and support to patients before, during and after surgery procedure(s).Provides health education materials including forms, videos, articles to inform target population of health topic as directed by physician; Develops with the physician, materials for patients pre- and post- surgery and correspondences in between.Provides support to physician with outside services, including, profession/collegiate teams, teaching and speaking engagements; Manages and coordinates logistics of care for VIPs and patients with special needs.