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Authorization/Surgical Scheduler
Full Time Clerical San Marco, Jacksonville, FL, US
5 days ago Requisition ID: 1113
Salary Range: $21.00 To $24.00 Hourly
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
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.
- Must have 3+ 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.