Authorization/Surgical Scheduler

Jacksonville Orthopaedic Institute•Jacksonville, FL

2d•$21 - $24•Onsite

About The Position

Jacksonville Orthopaedic Institute is looking for an Authorization/Surgical Scheduler to join their team at the San Marco office. This full-time position involves the coordination and scheduling of surgical procedures, ensuring timely collection of documentation, pre-operative planning, and insurance authorization. The role requires excellent communication, organization, and problem-solving skills to ensure high-quality patient service and compliance with payer and internal policies.

Requirements

High School Diploma or equivalent required
3+ years of experience in medical scheduling, authorization, or billing required
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.

Nice To Haves

Associate degree in healthcare or related field preferred
Surgical scheduling preferred

Responsibilities

Schedule inpatient and outpatient surgical procedures, testing, and all related pre- and post-operative appointments.
Triage surgical orders for accuracy (e.g., place-of-service, procedure type, diagnosis codes, and insurance).
Coordinate schedules with providers, surgical centers, operating rooms, and pre-op departments.
Utilize internal scheduling platforms and external facility systems to complete and track scheduling workflows.
Ensure patients receive proper education and instruction regarding surgical procedures.
Verify insurance eligibility and benefits related to surgical procedures.
Submit supporting documentation to insurance carriers to obtain prior authorizations and pre-certifications.
Collaborate with the Surgical Authorization team to understand and navigate payer-specific requirements.
Notify patients of their estimated out-of-pocket costs and arrange payments per department policy.
Follow up on denials and non-authorizations, working with patients, payers, and billing teams to resolve outstanding issues.
Respond professionally to inquiries from providers, patients, and insurance companies.
Accurately document all scheduling and authorization activities in the appropriate systems.
Follow chain-of-command and risk management protocols for addressing issues beyond assigned scope.
Collaborate directly with physician clinics to address concerns or clarify surgical instructions and requirements.
Generate and communicate financial responsibility estimates to patients.
Monitor surgical account balances and follow up with patients or billing teams regarding unpaid balances or agreements.
Act as a resource for benefit-related questions, policy changes, and authorization timelines.
Scan and attach relevant documents to patient records.
Assist with general office tasks including faxing, data entry, and clerical support.
Adhere to all HIPAA and confidentiality standards.
Perform other duties as assigned.