Scheduling Coordinator at PRC Alliance Pain Relief – Ormond Beach, Florida

The ASC Surgery Scheduler will ensure the patients are properly scheduled at internal ambulatory surgery center. Under the direct supervision of the Business Office Manager, manages surgery schedules, including PRC’s surgery schedule and ensures positive interactions with patients and on the phone. Responsible for coordination of multiple as requested by the Business Office Manager.

• Maintain procedure schedule. Verify benefits and authorizations.
• Contact insurance carriers to obtain prior authorization as required via phone, fax or insurance portal.
• Load authorizations and referrals in case management in ECW
• Schedule procedures in office and ASC. Schedule patients for their pre and post appointments and verify authorization for appointments have been obtained
• Inform provider and patients of status of authorization and denials. Import records and authorizations into the patient’s chart.
• Audit procedure schedule daily.
• Retrieve and return voicemails and emails
• Schedule patients for psychological evaluations.
• Prepare documents and letter of medical necessities for physicians so appeals process can be done on surgical denials.
• Perform other tasks as needed. (Clearance, Home Health, etc)

Education

The following formal education is required and/or preferred or for the job.

Required

High School Diploma or Equivalent Experience

Certificates, Licenses and Registrations

Below is the list of required and/or preferred certificates, license and registrations for the job.

Required

· Experience in referrals and authorizations.

Preferred

· Minimum of (3) years’ experience in referrals and authorizations.

Experience & Skills

Below is the list of required and/or preferred experience, knowledge, skills, and abilities for the job.

Required

• Excellent communication skills and ability to relate effectively to a variety of people.
• Advanced computer skills related to navigation and software programs preferred.
• Ability to work independently and demonstrate initiative.