Medical Coordinator in Pinehurst, North Carolina at Pinehurst Surgical Clinic PA

JOB SUMMARY

The Direct Hire Medical Coordinator with Surgery Scheduling is responsible for patient access, surgical scheduling, insurance coordination, and administrative workflow support within a multi-specialty surgical clinic. This role ensures accurate scheduling, insurance verification, and care coordination across the continuum of care to support provider productivity, regulatory compliance, and patient satisfaction.

As a direct hire team member, this position reinforces standardized scheduling practices, workflow consistency, and operational reliability within the department.

RESPONSIBILITIES

Patient Access & Communication

• Answer incoming calls using approved scripting and route clinical inquiries per clinic policy
• Escalate urgent requests immediately and return non-urgent calls within one business day
• Register new patients and verify demographic and insurance information
• Provide appointment instructions, directions, and pre-visit preparation guidance
• Maintain accurate message documentation and communication with providers and staff

Insurance Verification & Authorization

• Verify insurance eligibility and benefits prior to scheduling
• Assess referral requirements and contracted carrier participation
• Complete pre-certifications and communicate with insurance carriers
• Coordinate with financial counselors regarding patient financial responsibility
• Ensure accurate documentation to support compliant billing practices

Surgery Scheduling & Care Coordination

• Schedule surgical procedures, diagnostic testing, and related appointments
• Ensure completion of pre-operative documentation and required authorizations
• Enter and track provider orders through completion
• Monitor pending results and notify appropriate staff of delays
• Provide coverage for the Surgical Coordinator as needed

Administrative & Operational Support

• Process incoming/outgoing faxes and maintain documentation logs
• Manage provider schedule changes and communicate updates appropriately
• Perform general administrative duties to support clinic efficiency
• Support standardized workflows and departmental performance expectations

CHARACTERISTICS

• Professional, courteous, and patient-centered
• Demonstrates strong organizational and multitasking abilities
• Maintains composure in high-volume environments
• Exercises sound judgment and discretion
• Reliable and accountable for workflow accuracy
• Committed to confidentiality and HIPAA compliance
• Proactive and solution-oriented with a team mindset

QUALIFICATIONS

• High school diploma or equivalent; associate degree or higher preferred
• Minimum of 1–2 years of experience in medical scheduling, registration, or referral coordination preferred
• Demonstrated knowledge of insurance processes, including verification and authorization requirements.
• Proficiency in EMR systems, patient portals, and office communication tools.
• Strong organizational skills with attention to detail and accuracy
• Clear and professional verbal and written communication skills

Physical Requirements

• Sitting: Frequently
• Standing: Occasionally
• Walking: Occasionally
• Carrying/Lifting: Rarely (up to 35 pounds)
• Stooping/Kneeling: Rarely
• Other: N/A