Responsible for all aspects of surgery process including all verifying insurance; pre-operative certifications and authorizations; complete necessary hospital forms; scheduling patient for any pre-operative labs, testing and coordination of post-surgery care
- Adheres to and supports the mission, purpose, philosophy, objectives, policies, and procedures of Tenet Physician Resources.
- Adheres to the Tenet HIPAA Compliance Plan and the Privacy Standards Confidentiality Agreement.
- Demonstrates support for the Tenet Corporate Compliance Program by being knowledgeable of compliance responsibilities as expressed in the Code of Conduct; adhering to federal and state laws, rules, regulations, and corporate policies and procedures policies that affect his / her specific job functions / responsibilities; and reporting compliance issues / concerns in a timely and appropriate manner.
- Triage surgical candidates as required by the physicians
- Work with appropriate hospital personnel to obtain information as required for surgery scheduling.
- Educate patients about planned surgery
- Verify insurance information in electronic system
- Obtain insurance authorizations as required by individual plans prior to surgery
- Work in concert with surgeons to obtain medical clearances and preoperative testing as required by hospital protocols
- Confirm and reschedule return appointments, as necessary.
- Provide assistance to administrative or clinical staff as needed.
- Notify manager with patient account and insurance issues.
- Other duties as assigned
Education : High school diploma / GED
Experience : Minimum of one year working in medical insurance or healthcare related field; Previous surgery scheduling experience strongly preferred.