Special Procedures Coordinator

Essential Duties and Responsibilities

• Performs job in accordance with Company mission, vision and goal.
• Exercises confidentiality in all areas, abiding by HIPAA rules and regulations.
• Maintains an organized and detailed spreadsheet of all patients who are being considered and have completed Special Procedures.
• Contacts patients to ensure they are properly informed of pre-procedure requirements (i.e.: medical clearance, psych clearance, etc.).
• Captures all required pre-procedure requirements to include, but not limited to, psych clearance, pre-op tests, and cardiac clearance as indicated.
• Helps educate patients, staff and providers on issues related to Special Procedures.
• Responsible for understanding insurance policy as it relates to ordered procedures.
• Responsible for obtaining authorization and scheduling of all related Special Procedures as ordered and assigned.
• Reviews patient chart notes after Special Procedures has been initiated to ensure clarity of documentation.
• Coordinates procedure scheduling with device representatives of various companies.
• Communicates with providers to obtain clarity on medical chart notes, as it pertains to Special Procedures.
• Reviews patient chart notes to ensure proper information is documented regarding medical necessity.
• Develops, maintains, and provides reports, as directed.
• Checks work e-mail on a regular basis throughout the workday.
• Participate in and complete all required trainings and in-services.
• Other duties as assigned.

Minimum Qualifications

• A High School Diploma, or equivalent.
• Two (2) years of related prior authorization experience and/or training.
• Must have knowledge of Internet and Microsoft Office software (MS Word, MS Excel, MS PowerPoint, MS Outlook).
• Must have excellent written and oral communication skills.
• Must be able to work individually as well as within a team.
• Must be able to multi-task and prioritize.
• Must demonstrate extreme attention to detail.
• Must possess strong organization skills.
• Must be able to perform calculations, problem solve and use reasoning.
• Must have knowledge of medical practices and medical terminology.
• Must be able to meet predefined production and quality standards.

Preferred Qualifications

• Two (2) years of prior experience working with an Electronic Medical Record (EMR).
• Three (3) years of experience in a medical practice.
• Two (2) years of prior experience in procedure scheduling.
• Medical Coding experience