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Patient Service Representative for Carondelet Medical Group Surgical Specialists

Tenet Healthcare
Tucson, AZ, United States
Full-time

Summary :

Responsible for all aspects of surgery process including all verifying insurance; pre-operative certifications and authorizations;

complete necessary hospital forms; scheduling patient for any pre-operative labs, testing and coordination of post-surgery care

Essential Job Responsibilities :

  • Adheres to and supports the mission, purpose, philosophy, objectives, policies, and procedures of Tenet Physician Resources.
  • Adheres to the Tenet HIPAA Compliance Plan and the Privacy Standards Confidentiality Agreement.
  • Demonstrates support for the Tenet Corporate Compliance Program by being knowledgeable of compliance responsibilities as expressed in the Code of Conduct;
  • adhering to federal and state laws, rules, regulations, and corporate policies and procedures policies that affect his / her specific job functions / responsibilities;

and reporting compliance issues / concerns in a timely and appropriate manner.

  • Triage surgical candidates as required by the physicians
  • Work with appropriate hospital personnel to obtain information as required for surgery scheduling.
  • Educate patients about planned surgery
  • Verify insurance information in electronic system
  • Obtain insurance authorizations as required by individual plans prior to surgery
  • Work in concert with surgeons to obtain medical clearances and preoperative testing as required by hospital protocols
  • Confirm and reschedule return appointments, as necessary.
  • Provide assistance to administrative or clinical staff as needed.
  • Notify manager with patient account and insurance issues.
  • Other duties as assigned

Education : High school diploma / GED or equivalent working knowledge

Experience : Minimum of one year working in medical insurance or healthcare related field; Previous surgery scheduling experience strongly preferred.

LI-JK1

The Scheduling Coordinator functions in all aspects of the Scheduling department and in addition provide oversight for the Scheduling Department in the absence of the supervisor.

The Scheduling Coordinator is responsible for all activities assigned during their shift, including quality and accuracy of work produced, reports at the end of the shift, and the status of the department.

Complies with all department-specific policies and procedures. Identifies and reports problems to the Scheduling Supervisor or Manager.

Education :

Required : Associate degree in related field or equivalent experience

Preferred : BS in related field

Experience :

Required : 1 year scheduling experience. At least 1 year previous experience in charge / supervisory or management position.

Certifications : Not Applicable.

Not Applicable.

Physical Demands :

30+ days ago
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