SURGICAL COORDINATOR | FULL-TIME | MONTGOMERY, AL

Job Description

Job Description

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