Surgery Scheduler/Precertification Specialist

Intuit, Inc.; Oklahoma City (OK); On-site; USD 42,000 - 66,000; Full time

Job summary

Intuit, Inc. is seeking a dedicated Surgical Scheduler and Precertification Specialist to join our healthcare team in Oklahoma City. You will coordinate surgical procedures, manage insurance precertification, and ensure seamless communication between patients, providers, and insurers.

The role focuses on timely surgeries and compliant authorization management, with patient care at the forefront. Ideal candidates will have strong HIPAA knowledge, CPT/ICD coding proficiency, EMR/EHR experience,

Qualifications

• HIPAA regulations and patient confidentiality.

Responsibilities

• Schedule surgical procedures by coordinating with physicians, patients, and OR staff.
• Obtain insurance prior authorizations by verifying coverage and submitting documentation.
• Review records and codes to support precertification requests.
• Maintain documentation of scheduling activities and authorizations in EHR.
• Verify insurance benefits and coverage using healthcare management software.
• Collaborate with staff and insurers to resolve authorization issues promptly.
• Provide excellent patient service while maintaining confidentiality.

Skills

HIPAA knowledge

CPT coding

ICD-9/ICD-10 coding

EMR/EHR experience

Managed care familiarity

Office software

Medical office scheduling

Tools

Medical billing software

Job description

Job Summary

We are seeking a dedicated and detail-oriented Surgical Scheduler and Precertification Specialist to join our healthcare team. In this vital role, you will coordinate surgical procedures, manage insurance precertification processes, and ensure seamless communication between patients, providers, and insurance companies. Your expertise will help facilitate timely surgeries while maintaining compliance with healthcare policies and regulations. This position offers an opportunity to contribute to patient care through efficient scheduling and authorization management.

Responsibilities

• Schedule surgical procedures accurately by coordinating with physicians, patients, and operating room staff to ensure optimal timing and resource allocation.

• Obtain insurance prior authorizations by verifying patient coverage, submitting necessary documentation, and following up on approval statuses to prevent delays.

• Review medical records, including clinical notes, and procedure codes to support precertification requests.

• Maintain comprehensive documentation of all scheduling activities, insurance communications, and authorization statuses in electronic health records (EHR) systems.

• Verify patient insurance benefits and coverage details using healthcare management software while ensuring compliance with HIPAA (Health Insurance Portability and Accountability Act) regulations.

• Collaborate with medical staff and insurance representatives to resolve authorization issues promptly, ensuring smooth patient flow for scheduled surgeries.

• Provide exceptional customer service by addressing patient inquiries professionally and maintaining confidentiality in accordance with clinical confidentiality policies.

Skills

• Strong knowledge of HIPAA regulations, medical terminology, and clinical confidentiality policies to protect patient information.

• Proficiency in CPT coding, ICD coding (ICD-9 and ICD-10), DRG, medical billing, and insurance verification processes.

• Experience with EMR/EHR systems for managing electronic health records efficiently.

• Familiarity with managed care plans, health insurance policies, prior authorization procedures, and health insurance policy nuances.

• Excellent organizational skills with the ability to multitask in a hospital environment.

• Proficient in Microsoft Office applications for documentation and communication purposes.

• Prior experience in a large multi-specialty surgical medical office setting, hospital, or ASC is preferred; familiarity with medical records management is essential.

• Outstanding customer service skills combined with a proactive approach to problem-solving in healthcare administration.

Join our team to make a meaningful difference by streamlining surgical scheduling processes and ensuring patients receive the care they need without unnecessary delays!