Scheduling Authorization Specialist

TSAOG Orthopedic & Spine; San Antonio (TX); On-site; USD 38,000 - 52,000; Full time

Job summary

TSAOG Orthopedic & Spine is seeking a Scheduling Authorization Specialist to manage medical service authorizations and streamline communication between providers, insurers, and patients. The role emphasizes accuracy, regulatory compliance, and timely processing.

The ideal candidate will have strong attention to detail, experience with EHR and Microsoft Office, and the ability to work independently as well as part of a team.

Qualifications

• High school diploma or equivalent.
• Experience in authorization or billing is preferred.
• Strong attention to detail and organizational skills.
• Excellent communication and interpersonal skills.
• Proficient in using EHR systems and Microsoft Office Suite.
• Ability to work independently and as part of a team.
• Knowledge of medical terminology and insurance processes is an advantage.
• Requires regular and predictable attendance

Responsibilities

• Review and process referral requests for medical services and procedures.
• Communicate with healthcare providers, insurance companies, and patients to gather necessary information.
• Ensure compliance with all relevant regulations and policies regarding authorizations.
• Maintain accurate records of authorization requests and outcomes in the system.
• Follow up on pending authorizations and resolve any issues that may arise.
• Provide support and guidance to healthcare providers regarding authorization requirements.
• Stay updated on changes in insurance policies and regulations affecting authorizations.

Skills

Attention to detail

Organizational skills

Communication

Interpersonal skills

EHR proficiency

MS Office proficiency

Teamwork

Medical terminology knowledge

Insurance processes knowledge

Education

High School Diploma

Healthcare administration education (plus)

Tools

EHR systems

Microsoft Office

Job description

Job Title: Scheduling Authorization Specialist

Job Summary: We are seeking a detail-oriented Scheduling Authorization Specialist to join our team. The ideal candidate will be responsible for managing the authorization process for medical services, ensuring compliance with regulations, and facilitating communication between healthcare providers and insurance companies. This role is crucial in ensuring that patients receive timely and appropriate care.

Key Responsibilities

• Review and process referral requests for medical services and procedures.
• Communicate with healthcare providers, insurance companies, and patients to gather necessary information.
• Ensure compliance with all relevant regulations and policies regarding authorizations.
• Maintain accurate records of authorization requests and outcomes in the system.
• Follow up on pending authorizations and resolve any issues that may arise.
• Provide support and guidance to healthcare providers regarding authorization requirements.
• Stay updated on changes in insurance policies and regulations affecting authorizations.

Requirements

Skills and Qualifications

• High school diploma or equivalent; additional education in healthcare administration or a related field is a plus.
• Previous experience in a healthcare setting, particularly in authorization or billing, is preferred.
• Strong attention to detail and organizational skills.
• Excellent communication and interpersonal skills.
• Proficient in using electronic health record (EHR) systems and Microsoft Office Suite.
• Ability to work independently and as part of a team.
• Knowledge of medical terminology and insurance processes is an advantage.
• Requires regular and predictable attendance

We offer a supportive work environment and opportunities for professional growth.