Surgical Scheduling & Prior Authorization Specialist

Virtua Health; Moorestown Township (NJ); On-site; USD 40,000 - 55,000; Full time

Job summary

A healthcare organization is seeking a dedicated individual to handle prior authorizations for surgical procedures. The role involves verifying patient benefits, entering data, and assisting with appeals for denied cases. Ideal candidates will have medical clerical experience and proficiency in computer data entry. A High School Diploma or equivalent is required, alongside strong communication skills and a professional demeanor on the phone. This is a full-time position based in Moorestown Township, New Jersey.

Responsibilities

• Obtain prior authorizations for surgical procedures.
• Verify benefits and eligibility on payer portals and via telephone.
• Upload clinical documents, enter data into multiple databases, and run reports as required.
• Alert facilitator of current or potential problems and assist in resolution.
• Appeal denied cases.
• Schedule peer-to-peer with Physician Providers.

Skills

Medical clerical experience

Prior authorizations

Understanding of medical terminology

Computer proficiency (data entry)

Clear communication skills

Professional phone demeanor

Education

High School Diploma or equivalent

Job description

A healthcare organization is seeking a dedicated individual to handle prior authorizations for surgical procedures. The role involves verifying patient benefits, entering data, and assisting with appeals for denied cases. Ideal candidates will have medical clerical experience and proficiency in computer data entry. A High School Diploma or equivalent is required, alongside strong communication skills and a professional demeanor on the phone. This is a full-time position based in Moorestown Township, New Jersey.