Special Procedures Coordinator

About the role

The Special Procedures Coordinator ensures authorization, scheduling, and coordination of Special Procedures by liaising with device representatives, outside organizations, patients, providers, and internal staff.

Responsibilities

• Performs job in accordance with Company mission, vision, and goals while exercising confidentiality and abiding by HIPAA rules and regulations.
• Maintains an organized and detailed spreadsheet of all patients being considered for and having completed Special Procedures.
• Contacts patients to ensure they are properly informed of pre-procedure requirements (e.g., medical clearance, psych clearance).
• Coordinates all required pre-procedure requirements, including psych clearance, pre-op tests, and cardiac clearance as indicated.
• Educates patients, staff, and providers on issues related to Special Procedures.
• Understands insurance policies as they relate to ordered procedures and obtains authorization and scheduling for all assigned Special Procedures.
• Reviews patient chart notes after Special Procedures initiation to ensure clarity of documentation.
• Coordinates procedure scheduling with device representatives from various companies.
• Communicates with providers to obtain clarity on medical chart notes pertaining to Special Procedures.
• Reviews patient chart notes to ensure proper documentation of medical necessity.
• Develops, maintains, and provides reports as directed.
• Checks work email regularly throughout the workday.
• Participates in and completes all required trainings and in-services.
• Performs other duties as assigned.

Requirements

• High School Diploma or equivalent.
• Two (2) years of related prior authorization experience and/or training.
• Knowledge of Internet and Microsoft Office software (MS Word, MS Excel, MS PowerPoint, MS Outlook).
• Excellent written and oral communication skills.
• Ability to work individually and within a team.
• Strong multitasking and prioritization skills.
• Extreme attention to detail and strong organizational skills.
• Ability to perform calculations, problem-solve, and use reasoning.
• Knowledge of medical practices and medical terminology.
• Ability to meet predefined production and quality standards.
• Strong desire to provide excellent customer service and comply with organizational rules and regulations.
• High ethical and professional standards with an attitude of continuous improvement.

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.

Driving/Travel

The employee must have reliable transportation. While the primary workplace may be closest to the employee’s home, work assignments could be in any of the Company’s locations.