Summary:

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

Essential Job Responsibilities:

• 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 or equivalent working knowledge

Experience: Minimum of one year working in medical insurance or healthcare related field; Previous surgery scheduling experience strongly preferred.

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