Prior Authorization/Scheduling Specialist - Orthopedics

At Virtua Health, we exist for one reason - to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, experienced specialists, life‑changing care, or something in‑between - we are your partner in health devoted to building a healthier community. If you live or work in South Jersey, exceptional care is all around. Our medical and surgical experts are among the best in the country. We assembled more than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet‑recognized health system ranked by U.S. News and World Report, we've received multiple awards for quality, safety, and outstanding work environment. In addition to five hospitals, seven emergency departments, seven urgent care centers, and more than 280 other locations, we're committed to the well‑being of the community. That means bringing life‑changing resources and health services directly into our communities through our Eat‑Well food access program, telehealth, home health, rehabilitation, mobile screenings, paramedic programs, and convenient online scheduling. We're also affiliated with Penn Medicine for cancer and neurosciences, and the Children's Hospital of Philadelphia for pediatrics. Location: Moorstown - 300 West Route 38 Remote Type: On‑Site Employment Type: Employee Employment Classification: Regular Time Type: Full time Work Shift: 1st Shift (United States of America) Total Weekly Hours: 40 Job Information: Summary This position is responsible for obtaining prior authorizations for surgical procedures and ensuring accurate verification of patient benefits and eligibility. Position Responsibilities Obtain prior authorizations of 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 meetings with Physician Providers. Position Qualifications Required / Experience Required Previous medical clerical experience. Experience with prior authorizations strongly preferred. Understanding of medical terminology. Computer user proficiency (data entry). Clear communication skills. Professional phone demeanor. Required Education High School Diploma or equivalent required. Hourly Rate: $18.89 - $27.81. The actual salary/rate will vary based on applicant's experience as well as internal equity and alignment with market data. Virtua offers a comprehensive package of benefits for full‑time and part‑time colleagues, including, but not limited to: medical/prescription, dental and vision insurance; health and dependent care flexible spending accounts; 403(b) (401(k) subject to collective bargaining agreement); paid time off, paid sick leave as provided under state and local paid sick leave laws; short‑term disability; optional long‑term disability; colleague and dependent life insurance; supplemental life and AD&D insurance; tuition assistance; and an employee assistance program that includes free counseling sessions. Eligibility for benefits is governed by the applicable plan documents and policies. #J-18808-Ljbffr