Surgery Scheduler/Prior Authorization - Urology

About the job

Beacon Clinic in Coeur d'Alene is hiring a full-time Surgery Scheduler/Prior Authorization specialist for its urology service. The role books urologic surgeries and procedures, secures prior authorizations, and works with patients, providers, insurers and other departments so cases run on time and within the rules.

Beacon Clinic began by treating cancer and blood conditions and now offers urology, rheumatology, radiation oncology, and medical oncology and hematology services.

What you'll do

• Book urology surgeries, elective procedures and pre-operative and postoperative visits in the practice or hospital scheduling system
• Check patient demographics, insurance coverage and eligibility
• Start and complete prior authorization requests for surgeries, in-house procedures, tests and implants, and follow each one until it is approved or the denial is resolved
• Confirm each case is ready, including labs, imaging and medical clearance, with urologists, nursing, OR staff, billing and case management
• Keep tracking logs in shared files and complete scheduling checklists and other paperwork
• Explain pre-op instructions, arrival times, fasting rules and needed testing to patients
• Follow payer requirements, facility policies and regulations, and handle last-minute changes and urgent authorizations

What you need

• Strong attention to detail
• Professional and compassionate manner
• Good communication and organizational skills
• Able to work on your own and as part of a team
• May be asked to work at both the Coeur d'Alene and Post Falls locations

Preferred

• High school diploma or equivalent
• 2+ years of experience in medical scheduling, prior authorizations or insurance verification, ideally in urology, a surgical practice or hospital scheduling
• Skill with EMR systems such as Epic, Cerner or Athena and with prior authorization platforms
• Solid grasp of medical terminology, the basics of CPT/ICD-10 coding, and the payer policies usually applied to surgical authorizations
• Able to multitask and prioritize under time pressure and keep patient information confidential (HIPAA)

Schedule

• Full-time

Benefits

• Paid time off
• 8 paid holidays when the clinic is closed
• Health insurance, including dental and vision
• A 401(k) plan
• A gym membership
• A professional development fund