Surgical Authorization Coordinator

2 weeks ago


Jacksonville, Florida, United States Southeast Orthopedic Specialists Full time
SURGICAL AUTHORIZATION COORDINATOR

At Southeast Orthopedic Specialists, a premier provider in orthopedic healthcare, we pride ourselves on our commitment to our patients and their needs. Our mission is to deliver exceptional orthopedic care that is accessible to all individuals, ensuring a positive impact on their health and well-being.

We offer our Full-Time Employees a comprehensive BENEFITS PACKAGE that includes:
  • Competitive Health & Welfare Benefits
  • Monthly stipend for ancillary benefits
  • Health Savings Account (HSA) with qualifying High Deductible Health Plans (HDHP) and company match
  • 401k plan with company match after 6 months of service
  • 24/7 Employee Assistance Program
  • Employee Appreciation Days and Events
  • Paid Time Off and Paid Holidays
  • AND MORE
Minimum Qualifications:
  • At least two years of experience in the healthcare sector is required, with a preference for previous call center experience.
  • A minimum of one year in Prior Authorization and/or Insurance verification.
  • Experience with Vein Authorization is highly preferred.
Preferred: Experience in Spinal Cord procedures, Kyphoplasty, and Imaging is highly desirable.

Key Responsibilities:
  • Oversee the authorization process for upcoming surgical cases, ensuring timely and accurate authorizations are secured.
  • Verify patient demographic details and insurance eligibility, including coordination of benefits; update and confirm necessary information for claim processing.
  • Complete surgical cost analysis forms accurately, documenting required cost estimations for collection prior to services.
  • Verify benefits for all surgical procedures.
  • Document authorizations and track progress in the patient's chart, entering information within case management systems.
  • Communicate effectively with physicians, patients, and colleagues, fostering strong working relationships with both internal and external stakeholders.
  • Contribute to ongoing training and education of staff regarding new processes to ensure timely confirmation of surgical cases.
  • Collaborate with department management to address and resolve complaints in a timely and professional manner.
  • Assist surgery schedulers with urgent authorizations.
  • Maintain strict confidentiality of all health records and member information, adhering to HIPAA guidelines.
  • Identify opportunities for workflow improvements within daily operations.
  • Attend departmental meetings as required.


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