Key skills
Communication
About this role
Role Overview
- Schedule’s outpatient medical procedures, for patients with appropriate provider and time/location slot
- Request pre-operative clearances from PCPs office
- Submit booking/orders to outpatient Surgical Center
- Provides patients with Surgical paperwork such as consents, drop instructions, pre/post-operative instructions, and financial responsibility
- Provides accurate, detailed information to patients regarding test preparations, time of patients scheduled arrival, and any other directional information needed: takes appropriate action in responding to questions from patients
- Provides patient education by reviewing patient pre-operative instructions and medications with the patient while maintaining patient confidentiality
- Provides great patient experience and delivers high level of service
- Develops a bond with patients ensuring they feel welcomed, understood, and appreciated not only during consultation but day of surgery as well
- Achieves company set key performance indicators and maintains surgical schedules for surgeons
- Notifies patients of all scheduled appointments
- Verify all insurance and obtain any authorizations needed
- Prepares all paperwork for physician for surgery
- Ensure that all pertinent information for upcoming surgery, such as booking sheets, insurance information, prior authorizations, pre-op/medical clearance, is sent to the appropriate surgical facility
- Answers all telephone inquiries from patients and primary care physicians concerning surgery and/or related concerns.
- Support the surgeon in building and maintaining referral relationships with OB/GYNs, PCPs, pain management specialists, physical therapists, and fertility clinics
- Coordinate office visits and lunches for local offices
- Track referral patterns and generate reports to help inform strategic outreach
- Follow up with prospective patients and referring providers to encourage continuity of care and promote surgical treatment options
- Collaborate with growth team and operations team to help implement local campaigns to increase surgical volume
- Act as a liaison between the practice and local healthcare networks, building strong relationships to strengthen PRM’s reputation and reach in the community
- Monitor trends in patient inquiries, cancellations, and referral conversions to provide actionable insights
Requirements
- High School Diploma or Equivalent
- 2-4 Years full-time surgery scheduling experience
- Willing and able to follow directions and adhere to priorities
- Must have a can-do, will-do attitude.
- Superior knowledge of coding guidelines and reimbursement schemes
- Must have exceptional organizational and computer skills
- Conversational knowledge of medical terminology, acronyms, techniques.
- Excellent written and oral communication
- Solid analytical skills
- Ability to work independently and with a team.
- 3 years eClinical Works RCM experience in patient account and denial management