Surgical Scheduler/Prior Auth Clerk Endo 221 - FT

Three Crosses Regional Hospital•Las Cruces, NM

1d•Onsite

About The Position

Three Crosses Regional Hospital is looking for a Surgical Scheduler/Prior Auth Clerk to join their Team that is committed to clinical excellence and building a patient-centered culture. Three Crosses Regional Hospital is an advanced independent healthcare organization led by a local team of professionals dedicated to high quality patient care and being the first choice of patients and providers in the communities we serve. They are dedicated to hiring team members that will adapt to their culture, pride themselves in professionalism, integrity, transparency, two-way communication, and ensuring the safety and well-being of their patients and staff.

Requirements

High School Diploma or GED equivalent
Minimum 2 years of customer service/scheduling experience, preferably in medical setting

Nice To Haves

Billing and/or Coding certificate

Responsibilities

Coordinates and schedules surgeries, follow-up appointments as designated by physicians
Interacts with patients,’ physicians and other staff both within the Clinic and at outside facilities providing accurate, timely and responsive information
Confirm accuracy of CPT and CD-10 diagnosis in the procedure order
Obtain authorization via payer website or by phone and follow up regularly on pending cases
Initiate appeals for denied authorizations
Coordinates processes and routes all paperwork as required to meet physician and facility requirements
Ensures efficient telephone communication
Documents work processes as required
Follows all written protocols and procedures of the Clinic
Must be able to recognize and respond appropriately to urgent/emergent situations per protocols.
Establish and maintain effective working relationships with physicians, staff, and management
Exhibit high level of quality through attention to detail and monitoring of work.
Must maintain highest level of confidentiality