Surgical Scheduler/Prior Auth Clerk Endo 221 - FT in Las Cruces, New Mexico at Three Crosses Regional Hospital

If you're looking for a place to call home and grow, Three Crosses Regional Hospital is looking for you! We are looking for a Surgical Scheduler/Prior Auth Clerk to join our 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.

We are dedicated to hiring team members that will adapt to our culture, pride themselves in professionalism, integrity, transparency, two-way communication, and ensuring the safety and well-being of our patients and staff.

Summary of Responsibilities:

The Surgical Scheduler/Prior Authorization Clerk is responsible for scheduling surgeries for assigned physician(s). Responsibilities include coordinating surgical procedures with multiple hospitals, scheduling, and obtaining prior authorizations for surgeries, pre-operative testing, writing, and communicating surgery orders, and collecting necessary documentation for
surgeries. This individual works closely with patients, physicians, and surgery location to providing accurate, timely, and responsive paperwork.

ESSENTIAL FUNCTIONS:

• 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

QUALIFICATIONS:

• Education and Experience
  • Required: High School Diploma or GED equivalent
  • Preferred: Billing and/or Coding certificate
  • Required: Minimum 2 years of customer service/scheduling experience, preferably in medical setting

*Three Crosses Regional Hospital is an Equal Opportunity Employer. We are committed to creating an inclusive environment for all employees and applicants and do not discriminate on the basis of race, color, religion, sex, pregnancy, sexual orientation, gender identity or expression, age, national origin, disability, veteran status, genetic information, or any other protected status under applicable law.