Surgical Authorization & Clearance Coordinator

Surgery Partners, Inc•Jacksonville, FL

28d•Onsite

About The Position

Riverside Pain Physicians is seeking a proactive Surgical Authorization & Clearance Coordinator to join their growing team. This position is responsible for managing the entire pre-operative process to ensure patients are fully prepared for their scheduled procedures. The Surgical Authorization & Clearance Coordinator oversees medical clearances, insurance authorizations, diagnostic testing, and all required pre-operative prerequisites while maintaining regular communication with patients, providers, and outside facilities. This individual also identifies opportunities to move patients into earlier surgery dates when openings become available, helping maximize surgical schedule efficiency and improving patient access to care. This is an excellent opportunity for someone who enjoys coordinating patient care, solving problems, and working in a fast-paced healthcare environment.

Requirements

High school diploma or equivalent.
Minimum of one year of experience in a medical office or healthcare setting.
Strong communication and follow-up skills.
Ability to manage multiple patients and priorities in a fast-paced environment.
Proficiency with Microsoft Office, including Word, Outlook, and Excel.
Comfortable working with electronic medical records (EMR).

Nice To Haves

Advanced Microsoft Excel skills, including spreadsheets, sorting, filtering, formulas, and tracking reports.
Previous experience coordinating surgeries, referrals, prior authorizations, or medical clearances.
Experience working with insurance verification and authorization processes.
Knowledge of Athenahealth or similar EMR systems.
Experience in pain management, orthopedics, neurosurgery, or an ambulatory surgery center.

Responsibilities

Manage each patient's surgical pathway from scheduling through procedure completion.
Track and monitor all required pre-operative clearances, including medical, cardiac, and specialty clearances.
Coordinate and follow up on insurance authorizations to ensure timely approval prior to surgery.
Monitor completion of laboratory work, imaging, EKGs, and other required testing.
Maintain detailed tracking spreadsheets and electronic records to ensure no prerequisite is missed.
Communicate regularly with patients regarding outstanding requirements, appointment reminders, and surgery preparation.
Collaborate with physician offices, surgery centers, hospitals, primary care providers, specialists, and insurance companies to obtain required documentation.
Identify patients who have completed all prerequisites and can be moved into earlier surgical openings.
Continuously review surgical schedules to maximize provider utilization and reduce unused operating room time.
Ensure all required documentation is complete, accurate, and available prior to the procedure date.
Document all communications and updates within the electronic medical record.
Resolve scheduling issues quickly while providing exceptional customer service.
Maintain strict HIPAA compliance and confidentiality.
Assist with additional administrative and operational projects as assigned.