Scheduling Specialist/Prior Authorization - Orthopedics

Virtua Health • Moorestown, IN

7d • $19 - $28 • Onsite

About The Position

This position is responsible for obtaining prior authorizations for surgical procedures and ensuring accurate verification of patient benefits and eligibility.

Requirements

• Previous medical clerical experience.
• Experience with prior authorizations strongly preferred.
• Understanding of medical terminology.
• Computer user proficiency (data entry).
• Clear communication skills.
• Professional phone demeanor.
• High School Diploma or equivalent required.

Responsibilities

• Obtain prior authorizations of surgical procedures.
• Verify benefits and eligibility on payer portals and via telephone.
• Upload clinical documents, enters data into multiple data bases, and runs reports as required.
• Alert facilitator of current or potential problems and assists in resolution.
• Appeal denied cases.
• Schedule peer to peers with Physician Providers.

Benefits

• medical/prescription, dental and vision insurance
• health and dependent care flexible spending accounts
• 403(b) (401(k) subject to collective bargaining agreement)
• paid time off, paid sick leave as provided under state and local paid sick leave laws, short-term disability and optional long-term disability
• colleague and dependent life insurance and supplemental life and AD&D insurance
• tuition assistance
• employee assistance program that includes free counseling sessions

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED