Surgical Authorization Coordinator

1 week ago


Jacksonville, Florida, United States Southeast Orthopedic Specialists, Inc. Full time
Job Overview

SURGICAL AUTHORIZATION SPECIALIST

Founded in 2001, Southeast Orthopedic Specialists stands as a prominent authority in orthopedic healthcare. Our commitment is to evolve alongside our patients, ensuring that we meet their needs now and in the future. We strive to provide exceptional orthopedic care that is accessible to a broad audience.

At Southeast Orthopedic Specialists, we prioritize your well-being so you can focus on your responsibilities. Our Full-Time Employees enjoy a comprehensive BENEFITS PACKAGE that encompasses:

  • 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, with a preference for prior call center experience.
  • A minimum of one year in Prior Authorization or Insurance Verification.
  • Experience with Vein Authorization is highly desirable.

Preferred Qualifications: Experience in Spinal Cord, Kyphoplasty, and Imaging is highly preferred.

Key Responsibilities:

  • Oversee the authorization process for upcoming surgical procedures on the physician's schedules, ensuring timely and accurate authorizations.
  • Confirm patient demographic details and insurance eligibility, including coordination of benefits; update and verify necessary information for claim processing.
  • Complete surgical cost analysis forms accurately, documenting required cost estimates for collection prior to services.
  • Verify benefits for all surgical procedures.
  • Document authorizations and track the progress of authorizations in the patient's records. Input authorization details within case management.
  • Communicate effectively with physicians, patients, and colleagues, fostering strong working relationships with both internal and external stakeholders.
  • Engage in 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 promptly and professionally.
  • Assist surgical 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.
  • Participate in departmental meetings as required.


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