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Surgical Coordinator Orthopedics

Day Kimball Healthcare
Putnam, CT Full Time
POSTED ON 1/17/2025
AVAILABLE BEFORE 3/17/2025
Surgical Coordinator Orthopedics 
1st shift
40 Hours
Day Kimball Medical Group Orthopedics
 JOB SUMMARY:

Under the direction of the Medical Practice Manager, the Surgical Coordinator is a position that includes surgical coordination, obtaining required authorizations for orthopedic, surgical, procedural and diagnostic services, FMLA paperwork processing and customer service. The Surgical Coordinator is responsible for obtaining and verifying patient demographic information, insurance, and other information necessary to ensure that all booked medical procedures are appropriately scheduled according to established protocols.

 
ESSENTIAL RESPONSIBILITIES:
Responsible for collaborative interaction with patients, physicians, other staff members and management, patient satisfaction and accurate processing of surgical and office medical procedures
Plans and directs verification of patient insurance and data processing to ensure accurate patient billing
Books, coordinates and reschedules patient surgery, pre-op and post-op appointments.
Appropriately responds to patient inquiries via telephone for scheduled medical procedures
Schedules patients in a prompt, pleasant, and helpful manner. Verifies necessary logistical information in the medical record.
Obtains insurance benefit information and prior authorization as needed. Ensures payor is contracted and in-network with doctor’s office and facility.
 
 
 
 
 
SKILLS AND ABILITIES:
  • Good physical and mental health and capable of working under pressure.
  • Ability to perform detailed assignments, work accurately, follow directions and assess priorities.
  • Accurate and timely processing of all administrative functions (>97% )
  • Ability to work calmly and effectively under stressful situations.
  • Ability to deal with the public in a courteous, efficient and empathetic manner.
 
QUALIFICATIONS:
Education:
  • High school graduate or equivalent required.. 
  • College level courses preferred but not required.
 
Experience:
  • At least 4 years of relevant surgical coordination and customer related experience within a healthcare environment
  • Knowledge of Healthcare Insurance preferred.
  • Knowledge of medical terminology preferred.
  • Excellent customer service skills required.
  • Prior experience and demonstrated competence with patient or customer information systems.
 
JOB DUTIES/RESPONSIBILITIES:
  • Demonstrate behaviors consistent with the practice’s mission, which is: To meet the health needs of our community through our core values of clinical quality, customer service, fiscal responsibility and local control.
  • Responsible for collaborative interaction with patients, physicians, other staff members and management, patient satisfaction and accurate processing of surgical and office medical procedures
  • Plans and directs verification of patient insurance and data processing to ensure accurate patient billing
  • Books, coordinates and reschedules patient surgery, pre-op and post-op appointments.
  • Appropriately responds to patient inquiries via telephone for scheduled medical procedures
  • Schedules patients in a prompt, pleasant, and helpful manner. Verifies necessary logistical information in the medical record
  • Obtains insurance benefit information and prior authorization as needed. Ensures payor is contracted and in-network with doctor’s office and facility
  • Follows procedures for verification of patient demographics information including insurance verification prior to the patient visit for all medical and surgical procedures
  • Maintains a thorough knowledge of departmental policies and procedures to ensure maximum reimbursement to the Medical Group.
  • Performs other duties as assigned
WORKERS’ COMPENSATION SPECIALIST
 
JOB SUMMARY
For the Surgical Coordinator that also functions as the Workers’ Compensation Specialist
The Workers’ Compensation Specialist is a key position in the medical practice playing a critical multifaceted role with the management of workers’ compensation services and claims.
 
ESSENTIAL RESPONSIBILITIES:
  • Point of contact for new workers’ compensation
    • Obtain demographics
    • Workers’ compensation carrier
    • Workers’ Case ID and contact
    • Schedule patient for office visit once WC is verified
  • Liaison between the medical practice and WC representative/adjuster
    • Provide timely documentation to carrier to include but not limited to:
      • Office visit notes
      • Work restrictions
    • Obtain visit authorizations from carrier to provide services at the practice and ensure
    • Facilitate appropriate, provider identified referrals to specialists  and obtain prior authorization from WC carrier
    • Obtain prior authorizations to include:
      • Surgeries
      • Imaging
      • DME
      • Other services as identified
  • Monitor and contact patient and adjusters to ensure compliance
  • Work closely with DKMG Central Billing Office to identify areas impacting payment and provide office based documentation as needed
  • Ensure proper closing of a Workers’ Comp Case with the carrier/adjuster, medical office and patient
 

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