Surgery Pre-Visit Coordinator

Come and join our team! We are a local growing private medical practice specializing in the diagnosis and treatment of patients with diseases of the retina and vitreous.

We are looking for individuals who would like to establish a career in healthcare working for a company with nationally recognized physicians.

We provide on the job training giving you the ability to grow and advance your skills along with gaining innovative knowledge.

Established in 1977, we have locations all over Northern California including Sacramento, Grass Valley, Roseville, Stockton, Modesto, Merced, Fairfield, Elk Grove, Folsom, Yuba City and Chico.

Our physicians are nationally known, and we continue to be on the leading edge of retina care by utilizing the latest equipment and both participating in and designing new clinical trials to advance the state of care for retinal diseases.

Join 200+ other team members working for our nationally recognized retina specialty practice in a fast paced, high volume medical office.

The Surgery Pre-Visit (SPV) Coordinator is responsible for ensuring surgical patients are administratively, financially, and insurance cleared prior to surgery.

The SPV Coordinator works closely with Surgery Scheduling, the Supervisor, patients, insurance carriers, and the ASC to identify and resolve authorization, eligibility, financial, and scheduling barriers.

Responsibilities: Daily Schedule & Workflow Management · Run the Schedule report at least three times daily: upon arrival, mid-day, and again in the afternoon.

· Stay at least two weeks ahead of the surgical schedule.

· Stay on top of same-day and next-day emergent add-ons and prioritize time-sensitive clearance needs.

· Run and work the Retro Authorization task list daily, at minimum twice weekly.

· Follow up on pending authorizations for surgeries that have already occurred.

· Prioritize MGH authorizations and ensure the Surgery Scheduler receives them or is notified when approval is obtained.

Insurance Eligibility & Authorization · Verify eligibility and benefits for all surgical patients.

· Verify Medi-Cal eligibility for all applicable patients on the first of every month.

· Request, monitor, and follow up on prior authorizations as required.

· Save approved authorizations to the Eligibility folder and into NextGen.

· Document authorization information and updates in the Auth Notes within appointment details.

· Request TARs and Letters of Agreement (LOAs) as necessary.

· Identify insurance requirements that may require a patient to be scheduled at a different facility.

· Communicate any authorization or insurance barriers that could delay surgery as soon as they are identified.

Patient Financial Communication · Calculate each patient's anticipated out-of-pocket (OOP) expense and communicate the amount at least two weeks prior to surgery.

· Inform patients of applicable Self-Pay rates.

· Complete the required Good Faith Estimate (GFE) form.

· Save CareCredit denials, when ...