Surgical Coordinator

Who we are: 

Spire Orthopedic Partners is a growing national partnership of orthopedic practices that provides the support, capital and operational resources physicians need to grow thriving practices for the future. As a Management Services Organization (MSO), Spire provides the infrastructure for administrative operations that allows practices to operate at their highest level, so doctors can focus their efforts on what matters most – patient care. Headquartered in Stamford, Connecticut, the Spire network spans the Northeast with more than 165 physicians, 1,800 employees, 285 other clinical providers and 40 locations in New York, Connecticut, Rhode Island and Massachusetts. 

Ortho Rhode Island is a world-class group of talented providers and professionals, all working together to offer value and quality in everything we do. Each Ortho Rhode Island team member is dedicated to thinking like a patient, and to offering the best experience in our industry, driven by our core values: delivering on our word, respecting each other, innovating in orthopedics, valuing every individual, and engaging our community. 

What you’ll do: 

The objective of the Surgical Scheduler role is to help support the surgical scheduling department by creating an effortless patient experience by providing a team-based approach to patient care and an exceptional patient experience.  Surgical Scheduler will emphasize highly personalized care and help patients surpass barriers to healthcare by improving the patient/provider relationship.  

Responsibilities/Duties:  

Surgical Scheduling 

• Welcomes patients by greeting them, in person or on the telephone, answering or referring to inquiries. 
• Scheduling of all surgical cases for all physicians at the appropriate facility 
• Ensure that correct surgical equipment is ordered.  
• Coordinates scheduling of all pre-admission testing, lab work, and diagnostic imaging as applicable 
• Obtain medical clearance from PCP and specialists as indicated. 
• Confirm that cases are scheduled with the correct facility.  
• Maintains and updates surgical schedule daily. 
• Communicates all changes to the appropriate departments and staff. 
• Confirm accurate completion of H&P and consent for each patient. 
• Confirm and order cases the day prior to surgical day. 
• Prints and distributes daily schedule to physicians, including any necessary patient paperwork. 
• Remain accountable and follow through on all commitments made to patients. 
• Assist physicians with billing submission.  
• Communicate effectively with patients, clinical staff, and physicians. 

Surgical Authorizations: 

• Responsible for reviewing for accuracy of information requested and received regarding precertification and/or prior authorization numbers received, as well as supporting documents. 
• Responsible for uploading into EHR software system, authorization numbers, time spans/number of procedures, etc. and supporting documentation upon verification that procedures are authorized as requested. 
• Responsible for monitoring and tracking of authorization requests and expiring authorizations. 
• Obtain prior authorizations as needed for preoperative imaging studies. 
• Utilize eligibility/registration software. 
• Sending clinical documentation as needed to insurance companies. 
• Responsible for the use of and documentation in, EHR software system as the official medical record, following appropriate guidelines for documenting. 
• Update facility of patient authorization status and confirm receipt of authorization. 
• Set up peer-to-peer as needed. 
• Send appeals as needed. 
• Communicate effectively with clinical staff and facilities on authorization statuses. 

Who you are: 

• High school diploma or equivalent. Associate degree or higher is preferred. 

• Ability to use computerized systems and experience with Electronic Medical Records systems, especially GE Centricity. 

• Minimum one-year experience in surgery or procedure scheduling in a medical practice.  

• Must have ability to work well under pressure and use sound judgment consistently. 

• Must possess strong verbal and written communications skills. 

• Must be highly organized and comfortable providing excellent internal and external customer service. 

What we offer:  

• Excellent growth and advancement opportunities  

• Dynamic environment  

• Access to a diverse network of practitioners  

• Broad infrastructure of tools and programs to enhance the employee experience     

• Competitive Compensation  

• Generous PTO   

• Benefits package: health, dental, vision, 401(k), etc.  

We are an equal-opportunity employer. Qualified Applicants are considered for positions and are evaluated without regard to actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex, or gender (including pregnancy, childbirth, and related medical conditions), gender identity or gender expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, protected medical condition as defined by applicable state or local law, genetic information, or any other characteristic protected by applicable federal, state, or local laws and ordinances (referred to as “protected characteristics”).   

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