Surgical Insurance & Scheduling Coordinator

Fultonmontgomeryny; City of Amsterdam (NY); Hybrid; USD 42,000 - 62,000; Full time

Job summary

St. Mary's Healthcare in New York seeks a detail-oriented Authorization Specialist to verify insurance coverage, submit requests with clinical notes and codes, track pending requests, and coordinate pre-op and post-op care.

The role requires a high school diploma or GED, 3+ years healthcare office experience, and strong knowledge of ICD/CPT codes, with proficiency in MS Office and teamwork skills.

Qualifications

• High school diploma or GED required.
• Strong knowledge of medical terminology, ICD and CPT codes.

Responsibilities

• Verify patient insurance coverage and submit authorization requests with clinical notes and codes.
• Coordinate surgery dates based on surgeon availability and patient needs.
• Schedule pre-op and post-op appointments and provide patients with preparation information.
• Ensure documentation in the patient chart meets standards.
• Maintain professional interaction with patients, families, and insurers.

Skills

Medical terminology

ICD codes

CPT codes

Organization

Critical thinking

multitask/ multitasking

MS Office

Education

High school diploma or GED

Tools

MS Word

Excel

Job description

Below are the shift differentials based on eligible shifts worked:

• Weekday evening shift - additional 10%
• Weekday night shift - additional 15%

The actual compensation for this position will be determined based on experience and other factors permitted by law.

Responsibilities:

• Verify patient insurance coverage, submit complete authorization requests with clinical notes and CPT/ICD-10 codes, track pending requests and follow up via payer portals or phone, manage denials and appeals, and coordinate peer-to-peer reviews when needed.
• Coordinate surgery dates based on surgeon availability and patient needs
• Confirm patient medical clearance and gather necessary documentation. Schedule pre-op and post-op appointments. Provide patients with thorough information and instructions to prepare them for surgery.
• Ensure all appropriate documentation included in the patient’s chart is accurate and follows institutional standards.
• Maintain proper etiquette when interacting with customers, including patients, their families/advocates, other St. Mary’s employees, and insurance company representatives.

Additional Responsibilities:

• Other duties as assigned.

Minimum Qualifications Education, Training & Experience:

• High school diploma/GED required. Strong knowledge of medical terminology, ICD and CPT codes required.
• Minimum of 3 years of healthcare experience in a physician practice preferred.

Required Skills and Attributes:

• Ability to organize and establish day-to-day priorities while using critical thinking skills in all aspects of the job.
• Must be able to multitask while remaining professional, focused, composed and positive.
• Displays integrity, friendliness, and compassion.
• Must be able to establish an appropriate and effective rapport with others.
• Demonstrates flexibility
• Takes initiative
• Able to work in a fast-paced environment
• Embraces new opportunities to grow both personally and professionally.
• Effective critical thinking and problem-solving skills.
• Proficient with various Microsoft Office products (Word and Excel). Strong organizational skills.
• Effective interpersonal skills.
• Ability to take and follow direction in a positive and appropriate manner.
• Ability to work as part of a team and independently.
• Must be able to demonstrate effective and appropriate written and oral communication skills.
• Must be able to speak, read, write and follow instructions in English.

Additional Postings available from St. Mary's Healthcare