Authorization/Surgical Scheduler
15 days ago
Jacksonville
Job Description Jacksonville Orthopaedic Institute is looking for an Authorization/Surgical Scheduler to join our team at the San Marco office. The position is full-time with benefits including medical, dental, vision, life and disability insurance, and 401K retirement plan. Location: 1325 San Marco Blvd. Jacksonville, FL 32207 Schedule: Monday- Friday Position Summary: The Surgery Scheduler is responsible for the coordination and scheduling of surgical procedures, ensuring timely collection of documentation, pre-operative planning, and insurance authorization. The position requires excellent communication, organization, and problem-solving skills to ensure high-quality patient service and compliance with payer and internal policies. Essential Job Functions: Surgical Scheduling & Coordination • Schedule inpatient and outpatient surgical procedures, testing, and all related pre- and post-operative appointments., • Triages surgical orders for accuracy (e.g., place-of-service, procedure type, diagnosis codes, and insurance)., • Coordinates schedules with providers, surgical centers, operating rooms, and pre-op departments., • Utilizes internal scheduling platforms and external facility systems to complete and track scheduling workflows., • Ensure patients receive proper education and instruction regarding surgical procedures. Insurance Verification & Authorization • Verifies insurance eligibility and benefits related to surgical procedures., • Submits supporting documentation to insurance carriers to obtain prior authorizations and pre-certifications., • Collaborates with the Surgical Authorization team to understand and navigate payer-specific requirements., • Notifies patients of their estimated out-of-pocket costs and arranges payments per department policy., • Follows up on denials and non-authorizations, working with patients, payers, and billing teams to resolve outstanding issues. Communication & Documentation • Responds professionally to inquiries from providers, patients, and insurance companies., • Accurately documents all scheduling and authorization activities in the appropriate systems., • Follows chain-of-command and risk management protocols for addressing issues beyond assigned scope., • Collaborates directly with physician clinics to address concerns or clarify surgical instructions and requirements. Financial & Patient Responsibility Support • Generates and communicates financial responsibility estimates to patients., • Monitors surgical account balances and follows up with patients or billing teams regarding unpaid balances or agreements., • Acts as a resource for benefit-related questions, policy changes, and authorization timelines. Other Responsibilities • Scans and attaches relevant documents to patient records., • Assists with general office tasks including faxing, data entry, and clerical support., • Adheres to all HIPAA and confidentiality standards., • Performs other duties as assigned. Qualifications: • High School Diploma or equivalent required; Associate degree in healthcare or related field preferred., • Minimum 2 years of experience in medical scheduling, authorization, or billing required; surgical scheduling preferred., • Proficiency in medical terminology, CPT/ICD-10 coding, and insurance authorization processes., • Strong knowledge of payer requirements and insurance verification procedures., • Excellent organizational, communication, and customer service skills., • Proficient in Microsoft Office and EMR/EHR systems. Physical Demands: • Requires sitting 80%, standing 10%, walking 10%., • Requires manual dexterity sufficient to operate a keyboard, mouse and multiple telephone lines., • It is necessary to view computer screens for long periods of time. Working Conditions Fast paced orthopedic medical practice environment.