Old Bridge, NJ, 08857, USA
1 day ago
Scheduler
SchedulerReq #:0000204102 Category:Miscellaneous Status:Full-Time Shift:Day Facility:Barnabas Health Medical Group Department:Old Bridge HUB Salary:$17.25 - $24.37 per hour Location: Old Bridge HUB, 1980 Highway US-9, Old Bridge, NJ 08857 Job Title:Scheduler Location:Old Bridge HUB Department Name:Old Bridge HUB Req #:0000204102 Status:Hourly Shift:Night Salary Range: $17.25 - $24.37, Hourly Pay Transparency: The above reflects the anticipated hourly range for this position if hired to work in New Jersey The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience. Job Overview: The Surgery Scheduler & Prior Authorization Specialist plays a critical role in coordinating surgical procedures and ensuring all necessary authorizations are obtained prior to services. This position is responsible for scheduling outpatient and inpatient surgeries, communicating with patients, providers, and surgical teams, and verifying insurance requirements for procedures. The specialist ensures timely and accurate submission of prior authorization requests and follows up until approvals are secured. Attention to detail, strong communication skills, and a thorough understanding of insurance processes are essential for success in this role. Qualifications: Required: + High School Diploma or Equivalent + Minimum 2 years of experience in surgical scheduling and prior authorization in a medical office or hospital setting + Strong knowledge of medical terminology, CPT/ICD-10 codes, and insurance authorization processes + Proficiency in EMR systems EPIC preferred and Microsoft Office Suite + Familiarity with commercial, Medicare, and Medicaid insurance plans + Excellent organizational and time management skills + Ability to communicate clearly and professionally with patients, providers, and insurance representatives + Strong attention to detail and problem-solving skills Preferred: + Associate Degree in Healthcare or related field Scheduling Requirements: + Working Shift: Monday Friday + Day Shift: 8:30AM 5:00PM + Full-Time, 40 Hours Per Week Essential Functions: + Coordinate and schedule surgeries across multiple specialties based on provider availability, facility schedules, and patient needs + Obtain and verify all necessary documentation, including insurance coverage, referrals, and clinical notes for surgical procedures + Submit prior authorization requests to insurance companies and follow through until approvals are received + Maintain accurate records of scheduled procedures, authorizations, and communication in the EMR system + Educate patients on surgery prep instructions, timeframes, location, and any required pre-surgical testing + Serve as a liaison between patients, providers, insurance companies, and surgical centers + Track and monitor authorization status and escalate issues when needed to avoid delays in care + Ensure compliance with HIPAA regulations and organizational protocols + Provide excellent customer service while managing a high volume of cases efficiently Other Duties: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Benefits and Perks: At RWJBarnabas Health, our employees are at the heart of everything we do. Driven by our Total Wellbeing promise, our market-competitive offerings include comprehensive benefits and resources to support our employees physical, emotional, financial, personal, career, and community wellbeing. These benefits and resources include, but are not limited to: + Paid Time Off including Vacation, Holidays, and Sick Time + Retirement Plans + Medical and Prescription Drug Insurance + Dental and Vision Insurance + Disability and Life Insurance + Paid Parental Leave + Tuition Reimbursement + Student Loan Planning Support + Flexible Spending Accounts + Wellness Programs + Voluntary Benefits (e.g., Pet Insurance) + Community and Volunteer Opportunities + Discounts Through our Partners such as NJ Devils, NJ PAC, and Verizon + .and more! Choosing RWJBarnabas Health! RWJBarnabas Health is the premier health care destination providing patient-centered, high-quality academic medicine in a compassionate and equitable manner, while delivering a best-in-class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health. RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jersey whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education. Equal Opportunity Employer RWJBarnabas Health is an Equal Opportunity Employer
Por favor confirme su dirección de correo electrónico: Send Email