join our team

Overview

Position Summary

The Surgical Services Coordinator manages the end to end process that moves a patient from a provider's procedure order to a confirmed, authorized, and financially cleared date on the surgery schedule. The position schedules procedures at the ambulatory surgery center, obtains insurance precertification and prior authorization, calculates and collects deposits for both physician and facility fees, and serves as the patient's point of contact for scheduling and financial questions. The role acts as the liaison between patients, providers, insurance carriers, the ASC, and outside facilities to protect on time starts, clean claims, and an accurate patient financial experience.

PROCEDURE SCHEDULING AND SURGICAL COORDINATION

INSURANCE PRECERTIFICATION AND PRIOR AUTHORIZATION Verify insurance eligibility, benefits, and preauthorization requirements for orthopedic, spine, and pain procedures. Submit prior authorization requests through payer portals, fax, telephone, or electronic systems. Obtain and document authorization numbers, approved CPT codes, effective dates, units, and expiration dates. Follow up on pending authorizations on a defined cadence and escalate cases at risk of missing the scheduled date. Coordinate peer to peer reviews when requested by the insurance carrier and schedule them with the provider. Appeal denied authorization requests and supply supporting clinical documentation. Communicate approvals, denials, and pending status to providers, clinical staff, billing, and patients. Maintain current knowledge of payer guidelines, medical policy, and conservative care requirements for orthopedic and spine procedures.

FINANCIAL CLEARANCE AND DEPOSIT COLLECTION

Calculate estimated patient responsibility for both the physician professional fee and the facility fee, using verified benefits and contracted rates. Verify deductible, coinsurance, copay, and out of pocket status prior to the procedure date. Contact patients before the procedure to review their estimated financial responsibility and payment expectations. Collect surgery and procedure deposits in accordance with practice and ASC financial policy. Process payments accurately through approved payment systems and issue receipts. Establish payment arrangements within the limits set by practice policy and route exceptions to the Director of Practice Operations. Provide a Good Faith Estimate to uninsured and self pay patients at scheduling or on request, consistent with No Surprises Act requirements. Document every financial conversation, quoted estimate, deposit, and payment arrangement in the patient account.

PATIENT COMMUNICATION AND ACCOUNT DOCUMENTATION

Answer patient calls regarding procedures, scheduling, authorization status, and financial questions. Explain benefits, coverage limits, and practice financial policy in plain language the patient can act on. Update patient accounts and maintain accurate, current documentation in the practice management and EMR systems. Keep documentation complete enough that any team member can pick up a case and know exactly where it stands.

CLINIC SUPPORT RESPONSIBILITIES

The following clinic tasks are currently assigned to this position and are performed in addition to the ASC scope above. Check patient balances and follow up on outstanding patient payments. Complete medication reports. Process medical records requests as provider notes are completed, in accordance with HIPAA release requirements and practice turnaround standards.

REQUIRED QUALIFICATIONS

High school diploma or equivalent. Working knowledge of medical terminology, orthopedic and spine procedures, and CPT and ICD-10 coding as it applies to authorization. Experience with commercial insurance, Medicare, Medicaid, workers compensation, and personal injury payers. Proficiency in EMR (Athena Health) and practice management systems. Demonstrated accuracy with numbers and the ability to explain a cost estimate to a patient clearly. Strong organizational, follow through, and written communication skills.

PREFERRED QUALIFICATIONS

Experience in an orthopedic, spine, sports medicine, or surgical specialty practice. Prior experience in an ambulatory surgery center setting. Experience with surgical scheduling and surgical billing workflows. Bilingual English and Spanish.

KEY COMPETENCIES

Attention to detail and accuracy under deadline. Ownership of a case from order to completed procedure without prompting. Patient service, including difficult financial conversations handled with respect. Critical thinking and problem solving with payers. Collaboration with providers, clinical staff, front desk, and revenue cycle. Confidentiality and sound judgment with protected health information.

PERFORMANCE METRICS

Authorization turnaround time from order to approval. Percentage of cases authorized before the scheduled procedure date. Authorization approval rate and appeal success rate. Deposit collection rate against estimated patient responsibility. Accuracy of patient estimates measured against final patient responsibility. Rate of cases rescheduled or cancelled for authorization or financial clearance reasons. Documentation completeness and compliance audit results.

PHYSICAL DEMANDS AND WORK ENVIRONMENT

This position works in a clinical office and ambulatory surgery center setting. The role requires extended periods of sitting and computer and telephone use, frequent verbal communication, and occasional lifting of up to 20 pounds. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.

Benefits Include: Medical Insurance Vision and Dental Insurance 401(k) Retirement Plan Paid Time Off and Holidays Mileage Reimbursement for travel to satellite offices Compensatory Bonuses based on productivity and performance

Overview

Position Summary

ReVive Orthopedics Spine & Sports Medicine is seeking a skilled and dedicated Medical Assistant to join our clinical team. This role supports physicians in patient care and assists with a variety of clinical tasks to ensure high-quality service and efficient practice operations. The ideal candidate will be proficient in both clinical procedures and patient support, while also maintaining a patient-centered, compassionate approach.

Key Responsibilities

Qualifications Education: High school diploma or GED required; certification as a Medical Assistant (CMA, RMA) or Certified Nursing Assistant (CNA) is required Experience: 1-2 years in a medical assistant role, preferably within an orthopedic or specialty clinic. Bilingual (Spanish and English) Ability to travel between all our clinic locations Skills and Competencies: Proficiency with electronic health records (EHR) Strong patient interaction and communication skills Ability to assist with a range of clinical procedures Physical Requirements: Ability to move and stand for extended periods and occasionally lift up to 25 pounds.

Why Join ReVive Orthopedics Spine & Sports Medicine?

We offer a collaborative, patient-focused environment dedicated to excellence in orthopedic care and professional growth.