Authorization/Surgical Scheduler

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Authorization/Surgical Scheduler Full Time Clerical San Marco, Jacksonville, FL, US 5 days ago Requisition ID: 1113 Salary Range: $21.00 To $24.00 Hourly Jacksonville Orthopaedic Institute is looking for an Authorization/Surgical Scheduler to join our team at the San Marco office. The position is full-time with benefits including medical, dental, vision, life and disability insurance, and 401K retirement plan. Location: 1325 San Marco Blvd. Jacksonville, FL 32207 Schedule: Monday- Friday The Surgery Scheduler is responsible for the coordination and scheduling of surgical procedures, ensuring timely collection of documentation, pre-operative planning, and insurance authorization. The position requires excellent communication, organization, and problem-solving skills to ensure high-quality patient service and compliance with payer and internal policies. Essential Job Functions: Surgical Scheduling & Coordination Schedule inpatient and outpatient surgical procedures, testing, and all related pre- and post-operative appointments. Triages surgical orders for accuracy (e.g., place-of-service, procedure type, diagnosis codes, and insurance). Coordinates schedules with providers, surgical centers, operating rooms, and pre-op departments. Utilizes internal scheduling platforms and external facility systems to complete and track scheduling workflows. Ensure patients receive proper education and instruction regarding surgical procedures. Insurance Verification & Authorization Verifies insurance eligibility and benefits related to surgical procedures. Submits supporting documentation to insurance carriers to obtain prior authorizations and pre-certifications. Collaborates with the Surgical Authorization team to understand and navigate payer-specific requirements. Notifies patients of their estimated out-of-pocket costs and arranges payments per department policy. Follows up on denials and non-authorizations, working with patients, payers, and billing teams to resolve outstanding issues. Communication & Documentation Responds professionally to inquiries from providers, patients, and insurance companies. Accurately documents all scheduling and authorization activities in the appropriate systems. Follows chain-of-command and risk management protocols for addressing issues beyond assigned scope. Collaborates directly with physician clinics to address concerns or clarify surgical instructions and requirements. Financial & Patient Responsibility Support Generates and communicates financial responsibility estimates to patients. Monitors surgical account balances and follows up with patients or billing teams regarding unpaid balances or agreements. Acts as a resource for benefit-related questions, policy changes, and authorization timelines. Other Responsibilities Scans and attaches relevant documents to patient records. Assists with general office tasks including faxing, data entry, and clerical support. Adheres to all HIPAA and confidentiality standards. Performs other duties as assigned. Qualifications: High School Diploma or equivalent required; Associate degree in healthcare or related field preferred. Must have 3+ years of experience in medical scheduling, authorization, or billing required; surgical scheduling preferred . Proficiency in medical terminology, CPT/ICD-10 coding, and insurance authorization processes. Strong knowledge of payer requirements and insurance verification procedures. Excellent organizational, communication, and customer service skills. Proficient in Microsoft Office and EMR/EHR systems. Physical Demands: Requires sitting 80%, standing 10%, walking 10%. Requires manual dexterity sufficient to operate a keyboard, mouse and multiple telephone lines. It is necessary to view computer screens for long periods of time. Working Conditions Fast paced orthopedic medical practice environment. #J-18808-Ljbffr Jacksonville Orthopaedic Institute, Inc.