Surgical Services Authorization & Scheduling Specialist

Bridgeview Eye Partners; Cuyahoga Falls (OH); On-site; USD 52,000 - 72,000; Full time

Benefits offered by this job

Paid holidays

PTO after 60 days

Health plan

401k

Certification program

Job summary

Davis Eye Center is seeking a detail-oriented Surgical Services Precertification Specialist to join our team. You will obtain prior authorizations and precertifications for surgical procedures, verify benefits, and coordinate with surgeons, clinics, and patients to secure approvals before surgery.

You will maintain accurate documentation in the EMR, monitor authorization expirations, and stay up to date with payer guidelines while delivering excellent patient service in a professional medical

Qualifications

• Previous experience with insurance verification or prior authorizations preferred.
• Knowledge of medical terminology CPT/ICD-10 and insurance processes preferred.
• Strong attention to detail and organizational skills.

Responsibilities

• Obtain insurance prior authorizations and precertifications for surgical procedures.
• Verify benefits, eligibility, and coverage requirements.
• Review clinical documentation to meet authorization requirements.
• Coordinate with surgeons, schedulers, clinics, and patients to obtain approvals before surgery.
• Maintain accurate documentation in the EMR and other systems.
• Monitor authorization expirations and renewals; assist with denials/appeals.

Skills

Attention to detail

Organization

Verbal and written communication

Tools

EMR software

Microsoft Office

Job description

Davis Eye Center is seeking a detail-oriented Surgical Services Precertification Specialist to join our team. You will obtain prior authorizations and precertifications for surgical procedures, verify benefits, and coordinate with surgeons, clinics, and patients to secure approvals before surgery.

You will maintain accurate documentation in the EMR, monitor authorization expirations, and stay up to date with payer guidelines while delivering excellent patient service in a professional medical