Surgery Coordinator, Urology Clinic PB

Surgery Coordinator, Urology Clinic PB - 21677

US:

TX:

Edinburg | RMF CLINIC | Full Time

Posted 2 days ago

DHR Health - US:

TX:

Edinburg - Days

Summary:

Our Mission is to improve the well-being of those we serve with a commitment to excellence: every patient, every encounter, every time.

Our Vision is to create a world-class health system to advance medicine and increase access for the communities we serve by empowering caregivers to heal through compassion, knowledge, innovation, integrated care and excellence.

This position will determine insurance eligibility, financial status and eligibility for registration by reviewing insurance information via phone or on line verification, calling third party payers to obtain insurance benefits which include the effective dates of coverage, billing address, pre-existing condition clauses, in and out of network benefits and maximum coverage. Such duties include but are not limited to:
Meeting with the patient and explaining their surgery orders and pre-surgical testing needed, scheduling in-office and in-hospital procedures, making sure necessary authorizations have been obtained, data entry into the facility computer system and implementing/participating in the development of new diagnostic testing or programs.

• High School graduate or G.E.D. certificate preferred
• Completion of CNA program, Medical Office Specialist, or like program preferred

• Two (2) years continuous experience in a busy healthcare office with at least one (1) year insurance verification experience (required), and 6 months-1 year worker’s compensation experience is preferred; previous surgical scheduling experience is preferred.
• Prefer previous physician office or hospital experience
• Must have Excel, Microsoft suite computer experience and must be able to learn department IS system
• Must have excellent customer service skills
• Medical Terminology, ICD Codes, CPT Codes, HCPCS codes, and Modifier knowledge preferred
• Able to perform basic mathematical calculations, balance and reconcile figures, punctuate properly and spell correctly
• Requires reasoning ability and good independent judgment
• Requires working with frequent interruptions
• Must project a professional image
• Must be able to be sensitive to cultural and bilingual issues
• Excellent organizational skills are necessary
• Good written and verbal communication skills required
• Ability to read, write and speak English
• Good understanding of insurance benefits, surgical orders and medical terminology.
• Ability to communicate clearly and concisely with all levels of nursing, administration, patients and physicians

Responsibilities:

• Promotes the facility mission, vision and values by effectively communicating them to others. Considers mission, vision and values in developing services, standards and practices
• Schedule Surgeries, for both in-hospital and in-office procedures
• Obtaining Authorization or pre-cert as needed for the above
• Schedule, coordinate and monitor appointments of patients for pre-surgical diagnostic testing and registration
• Forwards a completed copy of schedule with applicable patient benefits to front desk staff and/or MD for collection of applicable deductible and co-pay amounts
• Confirms billing address, pre-existing conditions, in and out of network benefits and maximum coverage
• Reviews and confirms patient's financial information by obtaining the insurance carrier information, benefit information, policy number, group name, group number, and the effective date of coverage
• Ability to reference ICD-9-CM/ ICD-10-CM, CPT from doctor’s order to insurance carrier for eligibility and coverage of procedure
• Reviews and…