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Community Hospital Pre-Authorization/Procedure Scheduler, Full-Time in Grand Junction, Colorado

SUMMARY:

The Pre Authorization/Procedure Scheduler is responsible for the efficient scheduling of all patients for procedures at the Procedure Center and authorizing all needed medications.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

(The following statements are illustrative of the essential functions of the job and do not include other non-essential or marginal duties that may be required. Community Hospital reserves the right to modify or change the duties or essential functions of this job at any time. All responsibilities may not be performed by all incumbents.)

  • Responsible for scheduling all procedures. Responsible for following through to ensure all documentation/information has been secured prior to the procedure.

  • Responsible for obtaining pre-authorizations on all medications and scheduled procedures.

  • Works in conjunction with billing department on insurance information, coding and billing. Verify that accurate information has been transmitted.

  • Coordinate medical clearance with PCP?s and other specialists.

  • Notify pathology and lab of any needs. Notify Radiology if a technician will be needed

  • Responsible for assisting with patient financing including assisting with locating resources to help with the financial obligation.

  • Responsible for putting together procedure packets for patients and help coordinate pre?op and post?op care.

  • Responsible to be back-up for the front desk and assist in making appointments, answering phones and assisting with new patient paperwork.

  • Responsible for providing patient care in accordance with the hospital mission, goals, rules and policy and procedures guidelines.

  • Other duties as assigned.

EDUCATION:

High school diploma or equivalent with a minimum of one (1) year surgery scheduling experience required.

OR

equivalent combination of education and experience.

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