Service Access Manager - Central Carolina Surgery

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Duke Health Integrated Practice

Duke Health Integrated Practice comprises more than 110 primary and specialty outpatient clinics, extending the reach of Duke Health's mission across the state of North Carolina.

JOB LOCATION

Central Carolina Surgery - 1002 N Church St

JOB SUMMARY

We are seeking a Service Access Manager (Surgery Scheduling Manager) to be responsible for assisting surgeons and surgery schedulers in the day-to-day management of the surgery scheduling process for the Practice.  This position involves surgery schedulers, prior authorizations, FMLA, and disability process.

JOB DUTIES AND RESPONSIBILITIES

• Manages surgery schedulers, prior authorization, pre-certification, FMA/Disability
• Assist with surgical procedure coding before the procedure is scheduled to ensure correct authorizations are obtained
• Participates as a member of the management team in a collaborative and professional manner
• Assists other managers in achieving success with the surgery scheduling and authorization process
• Attends all meetings as required
• Responsible for working with various ASCs, hospitals, and other provider offices to ensure appropriate surgeries, tests, and treatments are provided for patients
• Interface with physicians to ensure proper and timely scheduling of cases
• Responsible for providing staff with the coding, billing, and education for surgery procedures necessary to complete their job tasks in an effective manner
• Responsible for the prior authorization process, and assist with coding questions to obtain prior authorization
• Review surgery posting sheets, code if appropriate
• Review all scheduled surgery cases for accuracy and completeness
• Release surgery block OR times at Cone Health facilities
• Work with Cone Health on OR grid and preference cards for specific surgeries
• Assign appropriate ICD-10 and CPT codes to colorectal and rectal cases
• Assign OR dates and times for colorectal, bariatric, and robotic cases
• Work with physicians on specific surgery dates and times as required
• Manage the FMLA/Disability process to be as efficient as possible
• Manage the prior authorization process to ensure proper authorization for both surgeons and, when appropriate, healthcare facilities are provided
• Responsible for appropriate referral and scheduling reports through Maestro and by physician or HCA requests
• Provides backup for vacating staff or absences
• Assists with applicant interviews for the open positions for surgery scheduling, prior authorization, and FML/disability positions
• Review timecards and approve as necessary

JOB ELIGIBILITY REQUIREMENTS

• High school diploma required. A Bachelor's degree in a related field is strongly preferred. 
• Requires six years of experience of a progressive nature in a healthcare setting to become knowledgeable of the complex activities associated with healthcare services. An Associate's degree may substitute for two years of experience. A Bachelor's degree may substitute for four years of experience.
• Demonstrated ability in the surgery scheduling and prior authorization process.
• Must have a basic understanding of federal, state, and insurance guidelines.

JOB HOURS

The schedule for this position is day shifts, Monday-Friday, with no weekends or holidays.

Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.

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Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.