Surgery Scheduling & Authorization Coordinator - Full Time

Job: Surgery Scheduling & Authorization Coordinator Classification: Hourly/Non-Exempt Job Category: Administrative Support Workers Position Summary The Surgery Scheduling & Authorization Coordinator is responsible for scheduling hospital-based procedures and coordinating all aspects of insurance verification and authorization prior to patient services. This dual-role position ensures all scheduled procedures align with hospital policy, the patient's diagnosis, and physician orders, while also verifying eligibility, obtaining pre-certifications, and managing authorization requirements. Essential Functions Scheduling Responsibilities -Schedules hospital-based procedures, surgeries, and diagnostic tests in accordance with patient diagnosis and physician requests. -Coordinate with physicians, department staff, and vendors to ensure appropriate resources, equipment, and time/location slots are secured. -Inputs notes and special scheduling instructions into the electronic medical record (EPIC). -Coordinates multidisciplinary procedures with departments such as EEG, Radiology, Cardiac Rehab, and Pediatric Clinic. -Prepares and distributes daily operating schedules and weekend call schedules to appropriate personnel. -Maintains physician privileges records and coordinates with the Medical Staff Coordinator for updates and new physician procedures. -Assists team members and performs additional scheduling tasks as assigned. Authorization Responsibilities -Reviews patient demographic, insurance, and billing data for accuracy and completeness. -Verifies insurance eligibility and obtains necessary prior authorizations or pre-certifications. -Navigates payer websites and utilize payer-specific guidelines to assess medical necessity based on diagnosis, history, and treatment plans. -Submits timely referrals, notifications, and clinical documentation to secure authorization and minimize delays in patient care. -Communicates policy coverage and benefits to patients clearly and professionally. -Assists in denial management by ensuring compliance with payer guidelines to reduce financial penalties. -Responds to phone inquiries and written correspondence related to patient accounts and authorizations. -Maintains composure under pressure and use sound judgment in problem-solving. Additional Responsibilities -Must adhere to and follow all patient experience initiatives. -Must comply with TRMC vaccine policy(s) as mandated by the Centers for Medicare & Medicaid Services (CMS). -Demonstrated ability to work independently and collaboratively in a fast-paced healthcare environment. -Strong communication, organizational, and problem-solving skills required. Work Experience -One to three years of healthcare experience in scheduling, billing, or authorization required or equivalent education and experience. -Familiarity with EPIC electronic health record system preferred. Education -Associate's degree in related field preferred. - Completion of a medical terminology course or equivalent preferred. Physical Demands and Work Environment Lifting/Carrying Pushing/Pulling Lbs. % Time Lbs. % Time 1-10 34-66 1-10 34-66 11-20 0-33 11-20 0-33 21-50 0-33 21-50 0-33 51-75 0-33 51-75 0-33 76-100 None 76-100 None Movement % Time Bend/Stoop/Twist 0-33 Crouch/Squat 0-33 Kneel/Crawl 0-33 Reach above Shoulder 0-33 Reach below Shoulder 0-33 Repetitive Hand 0-33 Grasping 0-33 Squeezing 0-33 Climb Stairs 0-33 Walking Uneven 0-33 Walking Even 34-66 Environment % Time Indoors 67-100 Outdoors 0-33 Extreme Heat None Dusty None Excessive Noise 0-33 Equipment % Time Motor Vehicles None Foot Pedals None Extreme Heat None Dusty None Excessive Noise 0-33 Work near % Time Machinery None Electricity None Sharps 0-33 Chemicals 0-33 Fumes 0-33 Heights None Vision Depth Perception Required Color Not Required Peripheral Required Endurance Hours at Once Total in 12HR Sit 1 3 Stand 4 4.5 Walk 4 4.5