Scheduling Coordinator

SUMMARY:

Under the direction of the Nursing Supervisor, Office Manager or Clinic Coordinator, the Scheduling Coordinator II manages and coordinates surgery and procedure scheduling including meeting pre-certification requirements in accordance with established policies & procedures, insurance guidelines, and facility requirements in a multi-specialty environment.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

*Include the following. Other duties may be assigned.*

Keeps current on all insurance requirements for pre-certification of surgical procedures and diagnostic testing.
Evaluates pre-certification process and revises procedures and/or devises forms and workflow to maximize efficiency, including establishing and maintaining electronic email, fax, and telephone transmissions with insurance carriers.
Trains other clinical staff on the proper procedures and protocols to ensure correct pre-certification is obtained, documented, and recorded.
Reviews pre-certifications obtained by other clinical staff to ensure accuracy and completeness.
Oversees scheduling of patients for surgeries and diagnostic procedures for patients from the main clinic as well as satellite facilities. Surgeries are scheduled at several regional facilities where medical staff has clinical privileges.
Develops and maintains appropriate pre-op and pre-testing instruction material and explains procedures/tests to patients per physicians’ instructions as requested.
Verifies insurance coverage and pre-certifies patients for procedures and/or hospital stays.
Answers messages regarding surgeries and tests, rescheduling appointments as necessary.
Coordinates surgeries with other physicians in the area.
Maintains all OR Suite block time at the hospital and releases it when not used.
Manages physicians’ schedules to maximize efficient use of both physician and OR time and updates physician with any changes to schedule.
Makes pre-op appointments for surgical patients, as requested (may be specialty specific)
Participates in orientation and training of personnel.
Obtains all History & Physical, consent forms, and other required documentation.
Ensures documentation is included in office medical record and transfers essential forms to hospital daily.
Applies knowledge and proficiency in ICD-10 and CPT coding involving complex, multi-specialty procedures.

EDUCATION AND/OR EXPERIENCE:

Diploma or equivalent from a one-year college or technical school in medical office technology with background knowledge of medical insurance and procedures. Minimum three years experience required; five years experience preferred.

QUALIFICATION REQUIREMENTS:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

EOE/AA/M/F/Disability/Vet

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