Remote Surgical Scheduling & Authorization Coordinator

Revive Orthopedics; United States; À distance; USD 55 000 - 75 000; Plein temps

Avantages offerts par ce poste

Medical Insurance

Vision and Dental Insurance

401(k) Retirement Plan

Paid Time Off and Holidays

Mileage Reimbursement for travel tosat

Compensatory Bonuses

Résumé du poste

ReVive Orthopedics Spine & Sports Medicine is seeking a Surgical Services Coordinator to manage end-to-end patient flow from procedure orders to scheduled dates and financial clearance. You will coordinate ASC scheduling, precertification, and deposits while serving as the patient liaison for scheduling and billing questions.

The role requires knowledge of orthopedic/spine procedures, CPT/ICD-10 coding, and strong communication.

Qualifications

• High school diploma or equivalent.
• Working knowledge of medical terminology, orthopedic and spine procedures, and CPT and ICD-10 coding as it applies to authorization.
• Experience with commercial insurance, Medicare, Medicaid, workers compensation, and personal injury payers.
• Proficiency in EMR (Athena Health) and practice management systems.
• Demonstrated accuracy with numbers and the ability to explain a cost estimate to a patient clearly.
• Strong organizational, follow through, and written communication skills.

Responsabilités

• Schedule procedures at the ambulatory surgery center and coordinate dates with the provider, the patient, and facility staff.
• Review provider orders and scheduling requests for completeness and accuracy before the case is placed on the schedule.
• Enter required notation in three places for every case: the order, the appointment note line, and the authorization record in the system.
• Confirm pre-procedure requirements are in place, including medical clearance, imaging, and supporting clinical documentation.
• Communicate schedule changes, add ons, and cancellations to affected providers, clinical staff, and patients.
• Coordinate scheduling for cases performed at outside facilities when applicable.
• Verify insurance eligibility, benefits, and preauthorization requirements for orthopedic, spine, and pain procedures.
• Submit prior authorization requests through payer portals, fax, telephone, or electronic systems.
• Obtain and document authorization numbers, CPT codes, effective dates, units, and expiration dates.
• Follow up on pending authorizations and escalate cases at risk of missing the scheduled date.
• Coordinate peer to peer reviews when requested and schedule them.
• Appeal denied authorization requests and supply supporting clinical documentation.
• Communicate approvals, denials, and pending status to providers, clinical staff, billing, and patients.
• Maintain knowledge of payer guidelines, medical policy, and conservative care requirements.

Connaissances

Organizational skills

Written communication

Attention to detail

Customer service

Problem solving

Collaboration

Confidentiality

Formation

High school diploma or equivalent

Outils

AthenaHealth EMR

Practice management systems

Description du poste

ReVive Orthopedics Spine & Sports Medicine is seeking a Surgical Services Coordinator to manage end-to-end patient flow from procedure orders to scheduled dates and financial clearance. You will coordinate ASC scheduling, precertification, and deposits while serving as the patient liaison for scheduling and billing questions.

The role requires knowledge of orthopedic/spine procedures, CPT/ICD-10 coding, and strong communication.