Surgical Coordinator - Colorectal Surgery

Schedule, pre-certifies for both the physician and facility, verify insurance eligibility, review benefits to include co-pay and deductible and documents procedure for Children's Hospital Operating Room and Ambulatory Surgery Center as well as outside hospitals and surgery centers for patients. Work with parents and other departments to schedule patients in a timely manner assuring that registrations, demographic and insurance information are correct. Verify guardianship/custody issues that might arise. Coordinate vendor or other specialized equipment required for the surgical procedure upon request.

Qualifications:
Minimum Education
High School Diploma or GED (Required)

Minimum Work Experience
3 years Progressive experience performing patient registration and scheduling, medical insurance verification, preferably in a hospital or a physician's office as a receptionist. (Required)

Required Skills/Knowledge
Must be proficient in Cerner and or similar EMR, CNHS HBOC and PPM/PSM systems.
Excellent verbal, interpersonal, consumer relations and telephone skills required.
Must have proficient knowledge in medical insurance verification procedures, insurance screening and financial counseling, billing and healthcare business operations, as well as working knowledge of CPT/ICD-10 coding.
Must be able to multi-task and have knowledge of medical terminology .

Functional Accountabilities
Patient Service Activities - Registration and Scheduling

• Process patient Surgical Plan of Care from Physician.

• Confirm and correct computer aided, on-line registration with parent/guardian via telephone or in person in courteous and consumer-orientated manner; collect personal and insurance information.

• Discuss co-payment, deposits or payment in full requirements with parents prior to scheduled appointment; counsel parent or refer parent to Medlaw for financial counseling or establishing payment schedule.

• Contact and verify insurance company in a timely manner to pre-certify procedure, document pre-certification notes in Cerner registration; contact PCP's for referrals and or H&P's as needed.

• Coordinates various diagnostic tests; call parent/guardian to schedule procedure, work with both the surgeon's and parent's schedules, as well as possibly other physician's schedules for joint procedures; schedule patients for an appointment with physician, nurse or technical personnel using the on-line scheduling system (Cerner); send parent a confirmation letter of procedure as well as other information relating to the surgical experience.

• Coordinate admission and/or procedure with other departments per patient needs; follow-up with each parent/patient until procedure is scheduled.

Cerner System Management

• Post case in Cerner utilizing the policy guidelines; maximize operating room block time utilization; confirm cases with the OR Posting Office.

• Contact and receive authorization numbers for late rooms, use of open OR time, etc.

• Contact system managers immediately when problems occur.

Confirmation of Procedure

• Assure that a registration for the procedure is in the HBOC system at least two days prior to date of procedure.

• Confirm with parent/guardian; facilitate consents for patients who are wards of the state/district.

• Confirm that there is a Consent, Surgical Plan of Care and History & Physical form for patients documented or scanned into the EMR prior to the DOS; retrieve any rescheduled patients' communication to ensure no delay on the day of service.

• Confirm and coordinate the schedule with surgical equipment representatives needed for the surgical procedure.

Peer Support

• Provide expertise and help to other schedulers to include cross coverage.

• Share new insurance notifications and changes with the schedulers and managers.

• Notify AMSAC, the posting office and P ACU nurses of any cancellations and add-on cases.

Safety

• Speak up when team members appear to exhibit unsafe behavior or performance

• Continuously validate and verify information needed for decision making or documentation

• Stop in the face of uncertainty and takes time to resolve the situation

• Demonstrate accurate, clear and timely verbal and written communication

• Actively promote safety for patients, families, visitors and co-workers

• Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance

Organizational Accountabilities
Accountability

• Assumes responsibility for all aspects of the patients' procedures; follows up with scheduling, pending authorizations, registrations and any other possible patient needs even when other departments are involved with the care of the patient.

• Pays attention to detail throughout the surgical scheduling process.

• Perform routine Quality Control to ensure accuracy in scheduling.

Organizational Commitment/Identification

• Partner in the mission and upholds the core principles of the organization

• Committed to diversity and recognizes value of cultural ethnic differences

• Demonstrate personal and professional integrity

• Maintain confidentiality at all times

Customer Service

• Anticipate and responds to customer needs; follows up until needs are met

Teamwork/Communication

• Demonstrate collaborative and respectful behavior

• Partner with all team members to achieve goals

• Receptive to others' ideas and opinions

Performance Improvement/Problem-solving

• Contribute to a positive work environment

• Demonstrate flexibility and willingness to change

• Identify opportunities to improve clinical and administrative processes

• Make appropriate decisions, using sound judgment

Cost Management/Financial Responsibility

• Use resources efficiently

• Search for less costly ways of doing things

Organizational Accountabilities (Staff)
Organizational Commitment/Identification Teamwork/Communication Performance Improvement/Problem-solving Cost Management/Financial Responsibility Safety