Surgery Scheduling & Authorization Coordinator - Full Time

Titus Regional Medical Center•Mount Pleasant, TX

13h•Onsite

About The Position

The Surgery Scheduling & Authorization Coordinator is responsible for scheduling hospital-based procedures and coordinating all aspects of insurance verification and authorization prior to patient services. This dual-role position ensures all scheduled procedures align with hospital policy, the patient’s diagnosis, and physician orders, while also verifying eligibility, obtaining pre-certifications, and managing authorization requirements.

Requirements

One to three years of healthcare experience in scheduling, billing, or authorization required or equivalent education and experience.
Familiarity with EPIC electronic health record system preferred.
Associate's degree in related field preferred.
Completion of a medical terminology course or equivalent preferred.

Nice To Haves

Familiarity with EPIC electronic health record system
Associate's degree in related field
Completion of a medical terminology course or equivalent

Responsibilities

Schedules hospital-based procedures, surgeries, and diagnostic tests in accordance with patient diagnosis and physician requests.
Coordinate with physicians, department staff, and vendors to ensure appropriate resources, equipment, and time/location slots are secured.
Inputs notes and special scheduling instructions into the electronic medical record (EPIC).
Coordinates multidisciplinary procedures with departments such as EEG, Radiology, Cardiac Rehab, and Pediatric Clinic.
Prepares and distributes daily operating schedules and weekend call schedules to appropriate personnel.
Maintains physician privileges records and coordinates with the Medical Staff Coordinator for updates and new physician procedures.
Assists team members and performs additional scheduling tasks as assigned.
Reviews patient demographic, insurance, and billing data for accuracy and completeness.
Verifies insurance eligibility and obtains necessary prior authorizations or pre-certifications.
Navigates payer websites and utilize payer-specific guidelines to assess medical necessity based on diagnosis, history, and treatment plans.
Submits timely referrals, notifications, and clinical documentation to secure authorization and minimize delays in patient care.
Communicates policy coverage and benefits to patients clearly and professionally.
Assists in denial management by ensuring compliance with payer guidelines to reduce financial penalties.
Responds to phone inquiries and written correspondence related to patient accounts and authorizations.
Maintains composure under pressure and use sound judgment in problem-solving.
Must adhere to and follow all patient experience initiatives.
Must comply with TRMC vaccine policy(s) as mandated by the Centers for Medicare & Medicaid Services (CMS).
Demonstrated ability to work independently and collaboratively in a fast-paced healthcare environment.
Strong communication, organizational, and problem-solving skills required.