Position Summary

Under supervision, schedule and post surgeries, and obtain pre-certification for various medical services performed within the OBGYN department. Knowledgeable in all participating third-party carrier policies and procedures regarding pre-certification.

Essential Duties and Responsibilities: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Other duties may be assigned.

• Demonstrates knowledge of the organization’s mission and MFA’s iCare values and incorporates them into the performance of duties.

• Schedules and post surgeries for physicians in the department in a timely fashion.

• Ensures the timely scheduling of surgeries, pre-op testing, and post-op testing.

• Meet or call prospective surgery patients to determine date, time frame, and facility for procedure. Initial contact will be made within 2 business days.

• Sets, date and location for procedure; arrange preoperative testing and/or exam.

• Prepares and provide pre-op patient packet either in person, mail, or e-mail.

• Answer telephone lines; make, reschedule, or cancel appointments forward or take messages as needed.

• Schedules post-op appointments at the point of scheduling the surgery.

• Maintains updated and accurate notes in electronic medical record concerning all billing and insurance information.

• Contacts third party carriers to verify insurance benefits and obtains pre-authorization for all procedures.

Qualifications

Education

• College degree required or equivalent training and work experience.

Experience

• At least one year of responsible health care accounting/financial analysis or pre-certification is needed.
• Knowledge of healthcare industry, physician billing practices, and third-party reimbursement.
• Demonstrated working knowledge of federal and state regulations, insurance policies and procedures.
• Familiarity with automated accounts receivable software.
• MS Word and Excel proficient.
• Excellent written, verbal and organizational skills are required.
• Clinical background is preferred.