Full Time

Surgical Booking / Referral Coordinator

Emerson Health
Full-time
Associate
Hospitals and Health Care
Concord, MA
???* / year

Job Description

Schedule: Full Time

Pay Range: $20.00 - $25.00 / Hourly

Shift: Day shift

Hours: 8:00am-4:30pm

About This Role

Surgical Booking/Referral CoordinatorJob Summary

Reports to the Administrative Director and Clinical Practice Manager and works under the direct supervision of the Urology physician group. The Surgical Booking/Referral Coordinator is responsible for procedure and surgical scheduling and all pre-procedure administrative activities.

Job Functions

  • Transcribe surgical order forms with ICD-10 and CPT codes and send them to the appropriate hospital departments.
  • Transfer surgical schedules from Epic and input them into SIS.
  • Communicate surgery cancellations or reschedules to all appropriate departments and modify EMR systems as appropriate.
  • Release block time according to hospital guidelines and communicate with the Clinical Practice Manager, Administrative Director, and physician so the clinic can be opened if needed.
  • Assist the practice with answering phones and voicemail, specifically those related to surgical scheduling.
  • Serve as the practice contact for surgical partners.
  • Verify patients' insurance eligibility, participation, and referral status.
  • Retrieve insurance authorizations for surgical cases prior to surgery, update payers as needed, and add responses into Epic.
  • Email all authorizations to Financial Counseling.
  • Ensure all necessary functions are completed prior to surgical cases, including pre-operative labs, cell saver arrangements, and additional equipment needs.
  • Assist with billing functions and work with the billing company.
  • Process patients quickly and accurately through the computer-based scheduling system for future appointments and/or testing, as appropriate for patient care.
  • Ensure surgical patients are prepared for clinic visits with partnered physicians.
  • Meet with patients when scheduling procedures on the day of the office visit, when applicable.
  • Communicate with surgical patients to discuss clinic and surgical visits as appropriate, including pre-visit requirements, in a timely manner.
  • Retrieve and respond to phone messages accordingly.
  • Initiate medical clearances and risk stratifications, when applicable, and instruct patients accordingly with sufficient time before surgery.
  • Reschedule patients whose appointments conflict with operating room schedules.
  • Ensure all surgical paperwork is scanned into Epic.
  • Ensure pre-surgical paperwork requirements are met, including H&Ps, consent forms, and testing orders.
  • Schedule patients for radiologic testing ordered by the provider for surgery, including obtaining prior authorization, scheduling appointments, and communicating with patients.
  • Identify potential needs for anesthesia consultations based on hospital criteria and coordinate appointments prior to surgery.
  • Ensure patients have scheduled post-operative appointments, considering global periods and appropriate follow-up timing.
  • Maintain and support patients' rights to care, privacy, and respect.
  • Receive, review, and process referral and authorization requests as assigned for completeness, accuracy, and network appropriateness, including PCP-initiated specialty referrals, out-of-network requests, and ancillary services.
  • Document patient referral activity for resolved and unresolved referrals to track revenue performance.
  • Assist with patient insurance registration and updates in Epic, ensuring information reflected in patient medical records is as accurate as possible.
  • Perform other duties as assigned from time to time.

Minimum Qualifications

Education

  • High school diploma or equivalent preferred.
  • Medical Assistant certification or equivalent experience in a medical assistant role.

Experience

  • Two to four years of relevant work experience in a medical or physician surgical setting preferred.
  • Two to four years of clinical administrative or surgical medical office experience preferred, or Medical Assistant work experience with medical terminology in a surgical specialty preferred.

Licensure and/or Certification

  • N/A

Skills

  • Excellent customer service skills.
  • Excellent organizational skills.
  • Excellent communication skills.
  • Ability to work with a high volume of patients.
  • Ability to work independently.
  • Ability to collaborate with a team.
  • Must be able to read, write, and communicate in English.
  • Computer skills required.
  • Ability to maintain confidential information.

To apply, please visit: https://emersonhealth.org/jobs/surgical-booking-referral-coordinator-35371/?

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