Surgery Scheduling & Authorization Coordinator - Full Time
Surgery Scheduling & Authorization Coordinator - Full Time
Posted on :
24-07-2025
Employer Active
1 Vacancy
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Monthly Salary
Not Disclosed
Salary Not Disclosed
Vacancy
1 Vacancy
Posted on :
24-07-2025
Job Description
Job: Surgery Scheduling & Authorization Coordinator
Classification: Hourly/Non-Exempt
Job Category: Administrative Support Workers
Position Summary
The Surgery Scheduling & Authorization Coordinator is responsible for scheduling hospital-based procedures and coordinating all aspects of insurance verification and authorization prior to patient services. This dual-role position ensures all scheduled procedures align with hospital policy the patients diagnosis and physician orders while also verifying eligibility obtaining pre-certifications and managing authorization requirements.
Essential Functions
Scheduling Responsibilities
-Schedules hospital-based procedures surgeries and diagnostic tests in accordance with patient diagnosis and physician requests.
-Coordinate with physicians department staff and vendors to ensure appropriate resources equipment and time/location slots are secured.
-Inputs notes and special scheduling instructions into the electronic medical record (EPIC).
-Coordinates multidisciplinary procedures with departments such as EEG Radiology Cardiac Rehab and Pediatric Clinic.
-Prepares and distributes daily operating schedules and weekend call schedules to appropriate personnel.
-Maintains physician privileges records and coordinates with the Medical Staff Coordinator for updates and new physician procedures.
-Assists team members and performs additional scheduling tasks as assigned.
Authorization Responsibilities
-Reviews patient demographic insurance and billing data for accuracy and completeness.
-Verifies insurance eligibility and obtains necessary prior authorizations or pre-certifications.
-Navigates payer websites and utilize payer-specific guidelines to assess medical necessity based on diagnosis history and treatment plans.
-Submits timely referrals notifications and clinical documentation to secure authorization and minimize delays in patient care.
-Communicates policy coverage and benefits to patients clearly and professionally.
-Assists in denial management by ensuring compliance with payer guidelines to reduce financial penalties.
-Responds to phone inquiries and written correspondence related to patient accounts and authorizations.
-Maintains composure under pressure and use sound judgment in problem-solving.
Additional Responsibilities
-Must adhere to and follow all patient experience initiatives.
-Must comply with TRMC vaccine policy(s) as mandated by the Centers for Medicare & Medicaid Services (CMS).
-Demonstrated ability to work independently and collaboratively in a fast-paced healthcare environment.
-Strong communication organizational and problem-solving skills required.
Work Experience
-One to three years of healthcare experience in scheduling billing or authorization required or equivalent education and experience.
-Familiarity with EPIC electronic health record system preferred.
Education
-Associates degree in related field preferred.
- Completion of a medical terminology course or equivalent preferred.
Physical Demands and Work Environment
Lifting/Carrying Pushing/Pulling
Lbs. % Time Lbs. % Time
76-100 None 76-100 None
Movement % Time
Bend/Stoop/Twist 0-33
Crouch/Squat 0-33
Kneel/Crawl 0-33
Reach above Shoulder 0-33
Reach below Shoulder 0-33
Repetitive Hand 0-33
Grasping 0-33
Squeezing 0-33
Climb Stairs 0-33
Walking Uneven 0-33
Walking Even 34-66
Classification: Hourly/Non-Exempt
Job Category: Administrative Support Workers
Position Summary
The Surgery Scheduling & Authorization Coordinator is responsible for scheduling hospital-based procedures and coordinating all aspects of insurance verification and authorization prior to patient services. This dual-role position ensures all scheduled procedures align with hospital policy the patients diagnosis and physician orders while also verifying eligibility obtaining pre-certifications and managing authorization requirements.
Essential Functions
Scheduling Responsibilities
-Schedules hospital-based procedures surgeries and diagnostic tests in accordance with patient diagnosis and physician requests.
-Coordinate with physicians department staff and vendors to ensure appropriate resources equipment and time/location slots are secured.
-Inputs notes and special scheduling instructions into the electronic medical record (EPIC).
-Coordinates multidisciplinary procedures with departments such as EEG Radiology Cardiac Rehab and Pediatric Clinic.
-Prepares and distributes daily operating schedules and weekend call schedules to appropriate personnel.
-Maintains physician privileges records and coordinates with the Medical Staff Coordinator for updates and new physician procedures.
-Assists team members and performs additional scheduling tasks as assigned.
Authorization Responsibilities
-Reviews patient demographic insurance and billing data for accuracy and completeness.
-Verifies insurance eligibility and obtains necessary prior authorizations or pre-certifications.
-Navigates payer websites and utilize payer-specific guidelines to assess medical necessity based on diagnosis history and treatment plans.
-Submits timely referrals notifications and clinical documentation to secure authorization and minimize delays in patient care.
-Communicates policy coverage and benefits to patients clearly and professionally.
-Assists in denial management by ensuring compliance with payer guidelines to reduce financial penalties.
-Responds to phone inquiries and written correspondence related to patient accounts and authorizations.
-Maintains composure under pressure and use sound judgment in problem-solving.
Additional Responsibilities
-Must adhere to and follow all patient experience initiatives.
-Must comply with TRMC vaccine policy(s) as mandated by the Centers for Medicare & Medicaid Services (CMS).
-Demonstrated ability to work independently and collaboratively in a fast-paced healthcare environment.
-Strong communication organizational and problem-solving skills required.
Work Experience
-One to three years of healthcare experience in scheduling billing or authorization required or equivalent education and experience.
-Familiarity with EPIC electronic health record system preferred.
Education
-Associates degree in related field preferred.
- Completion of a medical terminology course or equivalent preferred.
Physical Demands and Work Environment
Lifting/Carrying Pushing/Pulling
Lbs. % Time Lbs. % Time
76-100 None 76-100 None
Movement % Time
Bend/Stoop/Twist 0-33
Crouch/Squat 0-33
Kneel/Crawl 0-33
Reach above Shoulder 0-33
Reach below Shoulder 0-33
Repetitive Hand 0-33
Grasping 0-33
Squeezing 0-33
Climb Stairs 0-33
Walking Uneven 0-33
Walking Even 34-66
Environment % Time
Indoors 67-100
Outdoors 0-33
Extreme Heat None
Dusty None
Excessive Noise 0-33
Equipment % Time
Motor Vehicles None
Foot Pedals None
Extreme Heat None
Dusty None
Excessive Noise 0-33
Work near % Time
Machinery None
Electricity None
Sharps 0-33
Chemicals 0-33
Fumes 0-33
Heights None
Vision
Depth Perception Required
< 20 Required
Color Not Required
Peripheral Required
Endurance Hours at Once Total in 12HR
Sit 1 3
Stand 4 4.5
Walk 4 4.5
Required Experience:
IC
Employment Type
Full-Time
Key Skills
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