Surgery Coordinator: Patient Experience & Insurance

METHODIST MANSFIELD MEDICAL CENTER; Texas; On-site; USD 50,000 - 70,000; Full time

Job summary

METHODIST MANSFIELD MEDICAL CENTER is seeking a Surgical Coordinator to serve as the patient point of contact throughout the surgical pathway, from initial contact to post-procedure coordination. You will manage insurance verifications, medical clearances and patient communications to maintain an efficient care flow.

The role emphasizes clear communication, relationship-building across departments, and proactive engagement to improve the patient experience and support surgeon collaboration in a

Qualifications

• High School Diploma or GED equivalent.
• Very strong proficiency using Microsoft Office products.
• Superior oral and written communication skills.
• Strong process orientation.
• Demonstrated capability to interface and maintain effective relationships with all departments and employees in a team-oriented environment.

Responsibilities

• Communicate clearly and openly.
• Build relationships to promote a collaborative environment.
• Be accountable for your performance.
• Always look for ways to improve the patient experience.
• Take initiative for your professional growth.
• Be engaged and eager to build a winning team.
• Reviews patient registration to ensure it is complete.
• Verifies all insurance and notes it in Practice Management System/EMR.
• Responsible for maintaining surgery criteria current with insurance providers and informing staff of any changes/updates.
• Communicate to patients and coworkers in a professional, enthusiastic, friendly and positive manner.
• Initiates patient into surgery pipeline, serves as advocate for patient and schedules initial consultation with surgeon.
• Communicates insurance benefits, deductibles, coinsurance, financial responsibilities and any additional medical testing/screening to patients.
• Secures Pre-determinations & Pre-Certifications for all procedures as well as any general surgery.
• Handle physician referrals to practice ensuring that doctor’s info is in the practice management system/EMR.
• Referral is acknowledged and notified that patient is verified, assigned, contacted and initiated into surgery process.
• Prepare and submit Letters of Medical Necessity and ensure that all insurance criteria & medical clearances have been completed.
• Upon insurance approval, communicates approval to patient, collects financial fees due, schedules pre op consultation, advises patient of surgery date and schedules 1 week post op appointment.
• Handle all appeals and denials in conjunction with patient\'s care.
• Participate in patient education seminars or meet the doctor events with other members of practice staff, educating interested parties about the surgery program.
• Prepare physical space for seminars/events.
• Assist other staff members to deliver the highest quality of patient care which includes being a team player to execute not only your duties but those that are needed by the practice when necessary.

Skills

Microsoft Office

Excellent communication

Process orientation

Team collaboration

Education

High School Diploma or GED

Tools

Practice Management System/EMR

Job description

METHODIST MANSFIELD MEDICAL CENTER is seeking a Surgical Coordinator to serve as the patient point of contact throughout the surgical pathway, from initial contact to post-procedure coordination. You will manage insurance verifications, medical clearances and patient communications to maintain an efficient care flow.

The role emphasizes clear communication, relationship-building across departments, and proactive engagement to improve the patient experience and support surgeon collaboration in a