Job Title: Orthopedic Surgical Coordinator
Responsibilities:
Surgical Scheduling & Coordination: Follow up on daily surgery indications, confirm procedures, and manage the surgical schedule for the physician.
Insurance Authorization: Submit Prior Authorization Requests (PARs) for Workers' Compensation (WCB) daily and upload approvals or denials to patient charts.
Claim Management: Verify WCB submission status daily and contact No-Fault adjusters to ensure claims are open with sufficient limits prior to booking.
Pre-Certification: Submit pre-certifications for No-Fault cases and coordinate medical clearances through primary care providers.
Administrative Support: Answer multiple phone lines using professional etiquette, greet patients, and assist with translation as needed.
Documentation: Maintain a daily digital record of all incoming calls and actions, update surgical spreadsheets, and manage medical records.
Post-Op Care: Call patients three days post-surgery to provide instructions and schedule two-week follow-up appointments.
Must Have Skills:
- Background in orthopedics *required*
- Strong experience with workers comp, CPT codes, commercial insurance authorization, no fault insurance processes (no ability to train on this) *required*
- Bilingual Spanish, strongly preferred
Location: onsite in Jamaica, New York 11432
Pay: up to $26/hr
Schedule/Shift: Monday - Friday, 9AM - 5PM
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