Surgery Scheduling & Precertification Expert

Entalabama; St. Vincent (MN); On-site; USD 42,000 - 65,000; Full time

Benefits offered by this job

401(k)

Health insurance

Life insurance

Paid time off

Vision insurance

Job summary

Entalabama is seeking a Precertification Specialist/Scheduler to coordinate surgery scheduling and obtain prior authorizations from commercial payers. The role requires two years in a medical-related field and a high school diploma or GED. You will review charts for policy compliance, discuss pre- and post-op instructions, and manage payer authorizations daily.

The position is full-time and in-person, with a Monday–Friday schedule. Benefits include 401(k), health, life, PTO, and vision insurance.

Qualifications

• Two years of experience in a medical-related field required.
• High school diploma or GED required.
• General knowledge of surgery scheduling, medications and medical terminology required.
• Two years of medical prior authorization experience preferred.

Responsibilities

• Schedule surgeries for doctors and create daily clinic schedule.
• Review chart documentation to ensure patient meets medical policy guidelines.
• Discuss pre-op and post-op instructions with patients.
• Prioritize incoming authorization requests according to urgency.
• Collect deductibles/costs for each surgery.
• Obtain authorization via payer website or by phone and follow up on pending cases.
• Maintain payer files with up-to-date authorization requirements.
• Respond to clinic questions about payer medical policy guidelines.
• Confirm CPT and ICD-10 accuracy in procedure orders.
• Contact patients to discuss authorization status.
• Answer patients’ questions about surgery/test/referral.
• Other duties as assigned.

Skills

Medical terminology

Surgery scheduling

Prior authorization

Communication

Education

High school diploma or GED

Tools

Payer websites

Job description

Entalabama is seeking a Precertification Specialist/Scheduler to coordinate surgery scheduling and obtain prior authorizations from commercial payers. The role requires two years in a medical-related field and a high school diploma or GED. You will review charts for policy compliance, discuss pre- and post-op instructions, and manage payer authorizations daily.

The position is full-time and in-person, with a Monday–Friday schedule. Benefits include 401(k), health, life, PTO, and vision insurance.