Authorization/Surgical Scheduler

Jacksonville Orthopaedic Institute is looking for an Authorization/Surgical Scheduler to join our team at the San Marco office. The position is full-time with benefits including medical, dental, vision, life and disability insurance, and 401K retirement plan. Location: 1325 San Marco Blvd. Jacksonville, FL 32207 Schedule: Monday- Friday The Surgery Scheduler is responsible for the coordination and scheduling of surgical procedures, ensuring timely collection of documentation, pre-operative planning, and insurance authorization.

The position requires excellent communication, organization, and problem-solving skills to ensure high-quality patient service and compliance with payer and internal policies. ________________________________________ Essential Job Functions: Surgical Scheduling & Coordination

• Schedule inpatient and outpatient surgical procedures, testing, and all related pre- and post-operative appointments.
• Triages surgical orders for accuracy (e.g., place-of-service, procedure type, diagnosis codes, and insurance).
• Coordinates schedules with providers, surgical centers, operating rooms, and pre-op departments.
• Utilizes internal scheduling platforms and external facility systems to complete and track scheduling workflows.
• Ensure patients receive proper education and instruction regarding surgical procedures. Insurance Verification & Authorization
• Verifies insurance eligibility and benefits related to surgical procedures.
• Submits supporting documentation to insurance carriers to obtain prior authorizations and pre-certifications.
• Collaborates with the Surgical Authorization team to understand and navigate payer-specific requirements.
• Notifies patients of their estimated out-of-pocket costs and arranges payments per department policy.
• Follows up on denials and non-authorizations, working with patients, payers, and billing teams to resolve outstanding issues. Communication & Documentation
• Responds professionally to inquiries from providers, patients, and insurance companies.
• Accurately documents all scheduling and authorization activities in the appropriate systems.
• Follows chain-of-command and risk management protocols for addressing issues beyond assigned scope.
• Collaborates directly with physician clinics to address concerns or clarify surgical instructions and requirements. Financial & Patient Responsibility Support
• Generates and communicates financial responsibility estimates to patients.
• Monitors surgical account balances and follows up with patients or billing teams regarding unpaid balances or agreements.
• Acts as a resource for benefit-related questions, policy changes, and authorization timelines. Other Responsibilities
• Scans and attaches relevant documents to patient records.
• Assists with general office tasks including faxing, data entry, and clerical support.
• Adheres to all HIPAA and confidentiality standards.
• Performs other duties as assigned.

Qualifications

• High School Diploma or equivalent required; Associate degree in healthcare or related field preferred.
• Must have 3+ years of experience in medical scheduling, authorization, or billing required; surgical scheduling preferred .
• Proficiency in medical terminology, CPT/ICD-10 coding, and insurance authorization processes.
• Strong knowledge of payer requirements and insurance verification procedures.
• Excellent organizational, communication, and customer service skills.
• Proficient in Microsoft Office and EMR/EHR systems. Physical Demands:
• Requires sitting 80%, standing 10%, walking 10%.
• Requires manual dexterity sufficient to operate a keyboard, mouse and multiple telephone lines.
• It is necessary to view computer screens for long periods of time. Working Conditions Fast paced orthopedic medical practice environment.