Specialty Procedures Pre-Auth Coordinator

Lexington Oncology Associates, LLC; Columbia (SC); On-site; USD 38,000 - 60,000; Full time

Benefits offered by this job

Day-one benefits

Dental insurance

Life insurance

Disability coverage

403(b) match

Adoption assistance

Student loan forgiveness

Job summary

Lexington Health in Columbia, South Carolina, seeks a pre-surgical authorization coordinator who acts as the gatekeeper for prerequisites and approvals, coordinating with patients, insurers, and the clinical team to ensure timely, reimbursable scheduling for specialty procedures.

The role requires attention to medical terminology, coding familiarity, and proficiency with EHR and MS applications; you will gather payer documentation, monitor denials, generate routine reports, and help optimize

Qualifications

• Minimum education: High School Diploma or Equivalent.
• 6 months scheduling/referral/authorization experience in healthcare.
• Familiar with medical terminology, procedures, and coding; extensive knowledge of medical record documentation.

Responsibilities

• Assists patients with benefit coordination to finalize insurance prerequisites.
• Tracks and resolves insurance requirements to prevent delays in scheduling.
• Liaises among patients, providers, and insurers for authorizations.
• Gathers payer documentation to support clean claims and maintains materials from insurers.
• Stays current on program requirements and medical necessity for procedures/surgeries.
• Oversees team meetings to address patient experience and program needs.
• Performs duties related to denials, corrections, and rejections in reimbursements.

Skills

Medical terminology

EHR systems

MS Applications

Data reporting

Education

High School Diploma or Equivalent

6 months experience in scheduling/authorization

Job description

Lexington Health in Columbia, South Carolina, seeks a pre-surgical authorization coordinator who acts as the gatekeeper for prerequisites and approvals, coordinating with patients, insurers, and the clinical team to ensure timely, reimbursable scheduling for specialty procedures.

The role requires attention to medical terminology, coding familiarity, and proficiency with EHR and MS applications; you will gather payer documentation, monitor denials, generate routine reports, and help optimize