Surgical Scheduling Coordinator

Nuvance Health has a network of convenient hospital and outpatient locations — Danbury Hospital, New Milford Hospital, Norwalk Hospital and Sharon Hospital in Connecticut, and Northern Dutchess Hospital, Putnam Hospital Center and Vassar Brothers Medical Center in New York — plus multiple primary and specialty care physician practices locations, including The Heart Center, a leading provider of cardiology care.

Non-acute care is offered through various affiliates,

 

Surgical Scheduling Coordinator- Sharon, CT, 40 hours per week, 8:30am-5:00pm

Summary:

Coordinates surgical schedule for surgeons and their patients.

Acquires authorizations for patient procedures and imaging as ordered by the Sharon surgical providers .

 

Responsibilities:

Responsibility 1.

Authorizations

1.1 Obtains authorizations for procedures and diagnostic imaging as required by patients' insurance companies and as ordered by the providers.

1.2 Receives from providers all orders for imaging procedures and biopsies.

1.3 Verifies patient demographics and insurance information and eligibility.

1.4 Calls insurance company to request prior authorization in a timely and professional manner.

1.5 If unable to provide required clinical information, seeks the assistance of a clinical staff member.

1.6 Upon receipt of authorization, immediately communicates with the patient and rendering provider.

1.7 In the event of an authorization denial, communicates with provider so he/she may request a peer-to-peer communication with insurer.

1.8 Maintains a tracking database of authorizations/denials received.

Responsibility II 2.

Surgical Scheduling

2.1 Reviews all cases with surgeon(s) and patient(s) prior to scheduling with OR.

2.2 Schedules all OR cases in Cerner and notifies surgeon; ensures if office schedule is affected that all patients are rescheduled.

2.3 Explains the surgical scheduling process to patient and provides appropriate patient education materials.

2.4 Fills out all appropriate paperwork for OR scheduling and pre-surgical testing.

2.5 Develops and maintains familiarity with payer-specific coding and billing requirements.

2.6 Meets deadlines and timeframes for assigned projects and tasks.

Responsibility III 3.

Communication

3.1 Reviews all superbills and electronic encounters for accurate code assignment and sequencing; works closely with providers and clinical staff to ensure that all encounters and charges are captured appropriately.

3.2 Collects and files/scans into the medical record all documentation (operative notes, consult notes, dictations, labor & delivery records etc.) for which billings/claims are created.

3.3 Enters transactional comments and billing notes into practice management system to assure accurate account documentation and communication with Billing Department.

3.4 Strives for consistent creation of "clean claims."

3.5 End of day reconciliation of encounters, charges and payments.

3.6 Performs month-end reconciliation.

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