The University of Texas Southwestern Medical Center
Location
Canada | United States
Job description
High school diploma or equivalent with five (5) years of experience working in a medical office environment; prefer at least one (1) year experience in surgery scheduling.
Additional education may be considered in lieu of experience.
Exposure and working knowledge of physician billing, medical collections, coding and surgery scheduling.
Schedules patient surgical procedures at various entities (University Hospitals, Ambulatory Surgery Centers) in accordance with established protocols; acquires the appropriate information and orders from the surgeon.
Provides pre-certification of all procedures to ensure coverage and proper billing procedures;and/or may obtain insurance pre- certification from the referring physician’s office and contacts insurance carriers for confirmation;advises clinic and/or patient on co-payment or co-insurance responsibility.
May be responsible for accurately entering scheduling, insurance and registration information into the appropriate system(s).
Maintains and monitors surgical block time to keep utilization at a high standard; advises surgeon of unused time and releases the unused time to prevent loss of department’s surgical block time.
Request and secure tissue from Tissue Bank/Transplant Services working with Faculty and OR to ensure delivery of the requested tissue at the time of surgery to avoid delay or cancellation of surgery.
Requests and/or obtains the ordered materials and/or equipment needed for surgery and confirms with the surgeon before surgery in order to avoid delay or cancellation of surgery.
May research claims on payment denials from third party carriers for pre-certified procedures.
Acts as liaison with other departmental staff when needed for the coordination of multiple and/or special procedures.
Adheres to patient privacy act HIPAA and confidentiality policy at all times.
Duties performed may include one or more of the following core functions: a) Directly interacting with or caring for patients; b) Directly interacting with or caring for human-subjects research participants; c) Regularly maintaining, modifying, releasing or similarly affecting patient records (including patient financial records); or d) Regularly maintaining, modifying, releasing or similarly affecting human-subjects research records.
Performs other duties as assigned. **Other Duties: Performs other duties as assigned.
This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information
UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.
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