SURGICAL COORDINATOR | FULL-TIME | MONTGOMERY, AL

Job Title

ROLE AND RESPONSIBILITIES:

• Verifies insurance eligibility and coverage case for all scheduled surgery patients.
• Obtains authorization / precertification for all scheduled surgeries.
• Coordinates with insurances and providers to schedule peer-to-peer when surgeries are not pre-approved.
• Obtains authorization / precertification for all custom braces (commercial insurances.)
• Obtains authorization / precertification for all L1833 knee braces (Medicare only.)
• Informs surgery patients of and coordinates collection for their financial responsibility, including deductibles, coinsurances, copays, etc.
• Communicates professionally and compassionately with patients and HIPAA-approved individuals to address their questions and concerns.
• Submits appeals for denied surgeries (VIVA only.)
• Maintains up-to-date knowledge of insurance laws, regulations, and guidelines.
• Answers and responds to phone calls and email communications.
• Serves as the primary point of contact for the practice and liaison between surgical patients, facilities, and physicians.
• Collaborates, and effectively communicates with other departments, insurance carriers, case managers, attorneys, and other pertinent parties to obtain approvals, facilitate the patient care, and claims process.
• Retrieves and scans missing information into patient's record prior to the patient's appointment, if needed.
• Reviews monthly unapplied money report to identify provider for corresponding visits and ensure totals balance.
• Performs all other duties as necessary and assigned by superiors.

QUALIFICATIONS:

Behaviors & Motivations (Required)

• Exceptional customer-service provided to all customers, visitors, callers, and co-workers
• Professionally and compassionately communicates with others
• Good written communication skills
• Keen attention to detail amid changing priorities in a fast-paced environment
• Exceptional organizational and time-management abilities
• Maintains a positive attitude toward co-workers, management, and all providers
• Demonstrates initiative, dependability, and independent problem-solving abilities

Qualifications

Behaviors

Team Player:

Works well as a member of a group

Detail Oriented:

Capable of carrying out a given task with all details necessary to get the task done well

Motivations

Peer Recognition:

Inspired to perform well by the praise of coworkers

Self-Starter:

Inspired to perform without outside help

Growth Opportunities:

Inspired to perform well by the chance to take on more responsibility

Education

High School or better.

Experience

1 year: Previous experience in surgical pre-authorization and medical A/R management

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

Southern Orthopaedic Surgeons