Scheduling Authorization Specialist

TSAOG Orthopaedics & Spine; San Antonio (TX); On-site; USD 42,000 - 64,000; Full time

Job summary

TSAOG Orthopaedics & Spine is seeking a detail-oriented Scheduling Authorization Specialist to manage the authorization process for medical services. The role ensures timely approvals, maintains accurate records, and supports providers and patients throughout the authorization workflow.

You will liaise with healthcare providers, insurers, and patients, staying current on policy changes and ensuring adherence to regulations.

Qualifications

• High school diploma or equivalent; additional education in healthcare administration or a related field is a plus.
• Experience in a healthcare setting, especially in authorization or billing, is preferred.
• Strong attention to detail and organization.
• Excellent communication and interpersonal skills.
• Proficient with 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.
• Regular and predictable attendance required.

Responsibilities

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

Education

High school diploma or equivalent

Healthcare administration education (related field)

Tools

EHR proficiency

Microsoft Office

Job description

Scheduling Authorization Specialist

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.

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.