What type of employment is offered for this Scheduler/Prior Authorization Representative role?

Full-time or part-time position

What industry does this Scheduler/Prior Authorization Representative position belong to?

This role spans multiple industries.

What is the expected salary for this Scheduler/Prior Authorization Representative job?

Compensation will be discussed during the hiring process.

How can I apply for the Scheduler/Prior Authorization Representative position at Stillwater Medical?

You can apply directly through the application link provided.

Scheduler/Prior Authorization Representative at Stillwater Medical

Ortho Oklahoma, Pain Management Clinic is looking for a detail oriented individual to join their team! Are you someone who:

multi-tasks well and maintains accuracy even when working at a fast pace?
is independent and self-directed while working as part of the care team?
is flexible and willing to do wherever needed?
is a rock-star communicator with excellent customer service?

Why choose Stillwater Medical?

Competitive wages and excellent benefits
Modern Healthcare's Best Places to Work since 2012

Details:

Full-Time, 40 hours per week
Monday - Friday, 8 am - 5 pm

JOB SUMMARY: Schedules new patient, old patient/new injury, office visits, MRI’s in an accurate, efficient, timely and supportive manner using departmental and SMC policies and procedures as guidelines. Takes ownership for the prior authorization process for spine surgeries and other related imaging and/or treatment procedures ordered by Stillwater Medical and other designated physicians, to be performed at Stillwater Medical Facilities. Is knowledgeable regarding insurance prior authorization requirements and shares information with Provider, Clinic and CBO teams, as needed. Obtains prior authorizations for spine surgeries. Monitors scheduled procedures for those that require prior authorization; coordinates the PA process with other team members. Communicates with Stillwater medical physician clinics regarding the status of prior authorizations; initiates peer-to-peer if necessary. Trains new clinic staff on PA process as needed. Is knowledgeable in the registration process for all inpatients and outpatients and performs the preservice data requirements efficiently and accurately by entering the required information into the Stillwater Medical Patient System. Uses the telephone, fax, computer, software and face-to-face client contact when carrying out responsibilities. Applies medical knowledge and previous clinical experience when performing the job responsibilities, as well as when raising questions and making critical decisions regarding scheduling requests. Applies initiative to support obtaining assessing, delivering and/or filing required scheduling documents. Resolves and discrepancies between the verbal encounter request and the written encounter request with assistance of supervisor or designee. Support the pre-registration and pre-certification process by obtaining critical, accurate patient demographic and billing information, as well as resolves many of the “quick turn-around” authorizations/verifications required for patients who have been worked into the schedule, as time permits. Keeps the clinic staff informed of situations needing attention. Immediately raises potential billing issues to supervisor of designee. Performs responsibilities in a professional, caring and compassionate manner when interacting with both internal and external clients. Uses good customer skills when conversing with patients (face-to-face and over the phone) and presents a professional image of Stillwater Medical. Provides and explains all required documents to the patient and answers their questions. Is knowledgeable in pre-payment collection and payment options. Uses initiative to maintain responsibilities and to solve scheduling, registration, and prior authorization-related problems. Keeps ancillary departments informed of problems. Delays and other situations that could impact the delivery of efficient, competent, and compassionate care. Supports new employee training efforts and coaches’ colleagues as appropriate. Keeps supervisor and or designee informed of patient complaints and resolutions of problem situations. Participates in performance improvement and CQI activities and fill sin as assigned. QUALIFICATIONS:

High school graduate or equivalent
Ability to communicate effectively, both verbally and in writing
Demonstrates excellent customer service skills
Ability to receive and comprehend and follow verbal and written instruction for office routines and policies
Minimum of 3 years previous experience in clinical scheduling, registration, and prior authorization.
Ability to understand insurance benefits and perform basic mathematical tasks
Knowledge of medical terminology is helpful
Understand the ethics of confidentiality
Basic computer knowledge and ability to type at least 40 wpm

PHYSICAL REQUIREMENTS:

Must have adequate perception of sounds or adequate hearing with corrections.
Adequate vision, or correctable with glasses/contacts, to prepare reports and read written materials.
Able to work in latex burdened environment
Able to speak clearly and distinctly with staff, physicians, patients, and families
Able to hear to converse with others on the phone
Demonstrates adequate stamina to deal with stressful situations and to complete the necessary work schedule
Able to stand/walk for extended periods of time throughout the work schedule, with some lifting and bending.
Possess fine motor skills and hand/eye coordination to manage office equipment

Scheduler/Prior Authorization Representative at Stillwater Medical – Stillwater, Oklahoma

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