Physician Surgery & Authorization Scheduler at ELKO COMMUNITY HEALTH CENTER LLC

Elko, Nevada, United States -

Full Time

Start Date

Immediate

Expiry Date

22 Sep, 26

Salary

0.0

Posted On

24 Jun, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Surgery Scheduling, Insurance Authorization, CPT/ICD-10 Coding, Electronic Medical Records (EMR), Patient Coordination, Medical Insurance Verification, Project Management, HIPAA Compliance, Multi-tasking, Professional Communication, Medical Office Administration, Insurance Appeals

Industry

Hospitals and Health Care

Description

Description Convergence Health Elko is seeking a professional and detail-oriented Physician Surgery & Authorization Scheduler. In this role, you will cultivate relationships with physician offices, referral partners, hospitals, and ASC staff, while managing the end-to-end scheduling and insurance authorization process to provide patient-centric services to the patients we serve. Primary Responsibilities ? Schedules patients for hospital inpatient, outpatient, and ambulatory surgeries to ensure patients are scheduled in an appropriate and timely manner. ? Obtains and manages prior authorizations, pre-certifications, and insurance verifications for all surgical procedures, ensuring approvals are secured from commercial and government payors prior to the date of surgery. ? Interviews patients either in person or by phone to verify demographic and insurance details, and to ensure information is accurate prior to surgery. ? Completes patient instruction forms and appropriate surgical area forms to ensure patients are provided with follow-up appointments, orders, and prescriptions. ? Schedules patient’s pre-operative examination and lab work to ensure completion prior to surgery. ? Collaborates with hospital and Ambulatory Surgery Center (ASC) surgery schedulers to enact efficient utilization of block times. ? Notifies Surgery scheduling clerk to provide priority surgery time. ? Notifies affected staff, services, and departments if a case is rescheduled, canceled, or added to ensure appropriate people are contacted. ? Regular attendance is required to carry out the essential functions of the position. ? Reviews and meets ongoing competency requirements of the role to maintain the skills, knowledge, and abilities to perform, within scope, role-specific functions. ? Provides information and updates regarding patients’ surgery schedules and authorization status. ? Assists patients with guidance on financial responsibility, insurance requirements, and filing necessary forms. ? Takes reservations for surgeries and schedules dates based on the availability of the surgeon. ? Orders patients' test results and assesses information from the report to determine if the patient is medically ready for surgery. ? Assures appropriate coordination with other hospital departments when special surgical needs occur. ? Files, collects, and organizes pre- and post-operational data, authorization documentation, and medical necessity chart notes for reference. ? Schedules and manages authorizations for multiple surgeons across various specialties. ? Other duties as assigned. Requirements Qualifications Required ? High school diploma or equivalent required. ? A minimum of three years’ experience working in a medical or dental office. ? Experience with surgery scheduling and a strong working knowledge of medical insurance, CPT/ICD-10 coding, and the prior authorization process preferred. ? Strong project management and multi-tasking skills. ? Proficient in MS Word, Excel, Outlook, and Electronic Medical Records (EMR) systems. ? Ability to act with integrity, professionalism, and confidentiality. ? Promotes positive work culture and teamwork. ? Excellent communication skills; handles challenging situations and insurance appeals with diplomacy without compromising clarity. ? Highly organized, skilled at prioritizing tight deadlines and urgent authorization timelines. ? Able to work with high accuracy and meticulous attention to detail to prevent claim denials. ? Drives ambassador-level service to patients, community partners, and cross-functional teams. ? Demonstrates flexibility and supports changes that improve quality of care, service, and operations. ? Takes initiative to assist other staff in completion of their assignments as needed. ? Ability to work with confidential information and handle protected health information in a manner consistent with the Health Insurance Portability and Accountability Act of 1996 (HIPAA).

Responsibilities

Manage the end-to-end scheduling and insurance authorization process for inpatient, outpatient, and ambulatory surgeries. Coordinate between physician offices, hospitals, and patients to ensure all pre-operative requirements and approvals are secured.