Scheduling & Auth Specialist 2. Children's hospital
About The Position
The Scheduling & Authorization Specialist 2 is responsible for managing end-to-end patient access and financial clearance processes, including check-in, registration, insurance verification, authorization review, and check-out activities. The role ensures accurate documentation in EPIC, reviews medical records for medical necessity, interfaces with payers to obtain and extend authorizations, and collaborates with the Patient Business Office (PBO) to support reimbursement, denials, and appeals. Serves as a liaison among physicians, outside medical groups, insurance carriers, patients, and internal departments to facilitate timely access to care, compliance with payer and regulatory requirements, and accurate, timely billing. Performs other duties as needed.
Requirements
- Associate's Degree required.
- Minimum three years of related experience required.
- Knowledge of various insurance types and their guidelines, including the ability to read and interpret EOB's.
- Working knowledge of current ICD and CPT coding systems.
- Able to keyboard 40 wpm.
- Able to read; write legibly; speak in English with professional quality.
- Able to use computer, printer, and software programs necessary to the position (e.g., Word, Excel, Outlook, PowerPoint).
- Able to operate/troubleshoot basic office equipment required for the position.
- Able to relate and communicate positively, effectively, and professionally with others.
- Able to work calmly and respond courteously when under pressure.
- Able to collaborate and accept direction.
- Able to communicate effectively in English in person, in writing, and on the telephone.
- Able to think critically.
- Able to manage multiple assignments effectively.
- Able to organize and prioritize workload.
- Able to work well under pressure.
- Able to problem solve.
- Able to recall information with accuracy.
- Able to pay close attention to detail.
- Able to work independently with minimal supervision.
- Able to distinguish colors as necessary.
- Able to hear sufficiently for general conversation in person and on the telephone, and identify and distinguish various sounds associated with the workplace.
- Able to see adequately to read computer screens, and written documents necessary to the position.
Nice To Haves
- Minimum one year of healthcare experience preferred.
- Medical coding certification preferred.
Responsibilities
- Managing end-to-end patient access and financial clearance processes, including check-in, registration, insurance verification, authorization review, and check-out activities.
- Ensuring accurate documentation in EPIC.
- Reviewing medical records for medical necessity.
- Interfacing with payers to obtain and extend authorizations.
- Collaborating with the Patient Business Office (PBO) to support reimbursement, denials, and appeals.
- Serving as a liaison among physicians, outside medical groups, insurance carriers, patients, and internal departments to facilitate timely access to care, compliance with payer and regulatory requirements, and accurate, timely billing.
- Performing other duties as needed.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
