Surgical Coordinator - Ambulatory Services - Ambulatory Services - Northern Virginia - Fairfax, VA

Pay Range $20.83 - $34.71

About This Role

Schedule, pre-certifies for both the physician and facility, verify insurance eligibility, review benefits to include co-pay and deductible and documents procedure for Children's Hospital Operating Room and Ambulatory Surgery Center as well as outside hospitals and surgery centers for patients. Work with parents and other departments to schedule patients in a timely manner assuring that registrations, demographic and insurance information are correct. Verify guardianship/custody issues that might arise. Coordinate vendor or other specialized equipment required for the surgical procedure upon request.

Requirements

• High School Diploma or GED (Required)
• 3 years progressive experience performing patient registration and scheduling, medical insurance verification, preferably in a hospital or a physician’s office as a receptionist (Required)

Skills

• Proficient in Cerner and/or similar EMR, CNHS HBOC and PPM/PSM systems
• Excellent verbal, interpersonal, consumer relations, and telephone skills
• Proficient knowledge in medical insurance verification procedures, insurance screening, and financial counseling
• Working knowledge of billing, healthcare business operations, and CPT/ICD-10 coding
• Ability to multi-task and knowledge of medical terminology

Responsibilities

Patient Service Activities - Registration and Scheduling

• Process patient Surgical Plan of Care from Physician
• Confirm and correct computer-aided, online registration with parent/guardian via telephone or in person in a courteous and consumer-oriented manner; collect personal and insurance information
• Discuss co-payment, deposits, or payment in full requirements with parents prior to scheduled appointment; counsel parent or refer parent to Medlaw for financial counseling or establishing payment schedule
• Contact and verify insurance company in a timely manner to pre-certify procedure, document pre-certification notes in Cerner registration; contact PCP’s for referrals and/or H&P’s as needed
• Coordinate various diagnostic tests; call parent/guardian to schedule procedure, work with both the surgeon’s and parent's schedules, as well as possibly other physician’s schedules for joint procedures
• Schedule patients for an appointment with physician, nurse, or technical personnel using the online scheduling system (Cerner); send parent a confirmation letter of procedure as well as other information relating to the surgical experience
• Coordinate admission and/or procedure with other departments per patient needs; follow-up with each parent/patient until procedure is scheduled

Cerner System Management

• Post case in Cerner utilizing the policy guidelines; maximize operating room block time utilization; confirm cases with the OR Posting Office
• Contact and receive authorization numbers for late rooms, use of open OR time, etc.
• Contact system managers immediately when problems occur

Confirmation of Procedure

• Assure that a registration for the procedure is in the HBOC system at least two days prior to date of procedure
• Confirm with parent/guardian; facilitate consents for patients who are wards of the state/district
• Confirm that there is a Consent, Surgical Plan of Care, and History & Physical form for patients documented or scanned into the EMR prior to the DOS; retrieve any rescheduled patients’ communication to ensure no delay on the day of service
• Confirm and coordinate the schedule with surgical equipment representatives needed for the surgical procedure

Peer Support

• Provide expertise and help to other schedulers to include cross coverage
• Share new insurance notifications and changes with the schedulers and managers
• Notify AMSAC, the posting office, and PACU nurses of any cancellations and add-on cases

Safety

• Speak up when team members appear to exhibit unsafe behavior or performance
• Continuously validate and verify information needed for decision making or documentation
• Stop in the face of uncertainty and takes time to resolve the situation
• Demonstrate accurate, clear, and timely verbal and written communication
• Actively promote safety for patients, families, visitors, and co-workers
• Attend carefully to important details - practicing Stop, Think, Act, and Review in order to self-check behavior and performance

Benefits

• Comprehensive health coverage, including medical, prescription, infertility, and transgender health services
• Generous paid time off, including vacation accrual from day one, sick leave, holidays, and a personal day
• Financial wellness support, including a 401(k) plan and healthcare and dependent care spending accounts
• Employer-paid life, AD&D, and long-term disability coverage, with optional supplemental plans
• Additional perks, including tuition assistance, fitness resources, employee assistance, commuter benefits, and more

Why Join Us

• Nationally Recognized Excellence – Consistently ranked among the Top 10 Children’s Hospitals in the nation by U.S. News & World Report
• Leading Pediatric Care – One of the largest and most comprehensive children’s hospitals in the country, offering nationally ranked specialties and cutting-edge treatments
• Innovation & Research – A premier academic medical center with a strong commitment to pediatric research, education, and advancing the future of child health