Authorization/Scheduling Specialist

St. Joseph Health Eureka , CA 95501

Posted 4 days ago

We are looking for an Authorization / Scheduling Specialist NUHW for Community Wide Scheduling Diagnostic Imaging!

Location: St Joseph Hospital Eureka, CA

Schedule: Per-diem/Relief

Shift: 8-hour Days

Summary:

Under the direction of the Department Manager, OIC Clerical Supervisor and Lead Authorization Specialist, the DI Scheduler/Authorization Specialist is responsible for the scheduling of services for all areas and authorization of outpatient imaging services for the Diagnostic Imaging Department, coordination of verification of insurance benefits, and financial counseling when indicated.

Essential functions:

  • Enters all necessary information in the scheduling and registration systems.

  • Obtains needed information and documentation from ordering physicians that is required for authorization of service.

  • Acts as a liaison between physician office, the insurance companies and the patients.

  • Works directly with Insurance Companies to process authorization requests, track scheduled cases requiring authorization and enters authorization approvals into the Meditech system.

  • Ensures that unauthorized services are rescheduled following established guidelines.

  • Notifies physician and patient of need to reschedule when necessary.

  • Performs related tasks as required. Is dependable, and remains flexible in staffing patterns, routines, assignments, and schedule changes

Minimum Job Qualifications:

  • High School graduate or certified equivalency (GED).

  • One year medical billing, insurance verification/authorization, registration or other related field.

  • Excellent verbal and written communication skills, medical terminology, knowledge of third party payers, overall knowledge of business office procedures and hospital policies, computer data entry skills, strong clerical & organization skills and ability to work with others in a flexible and cooperative manner.

Preferred Job Qualifications:

  • Extensive customer service experience.

  • Basic familiarity with diagnostic imaging procedures to facilitate appropriate registration/scheduling.

National Geographic Traveler calls Humboldt County one of the world's top ten great places while the USDA declares this area to be "America's Most Scenic Rural County."

It's also home for St. Joseph Hospital, located in Eureka and serving the community since 1920. We're a full-service, state-of-the-art facility with 145 licensed beds including a 15-bed Acute Rehab Unit.

Redwood Memorial Hospital is located in the Eel River Valley in the southern part of Humboldt County.

Redwood Memorial Hospital fosters a healing and welcoming environment by taking a holistic, patient-centered approach to medicine.

To learn more about our facilities and all Humboldt County has to offer, please visit: www.stjosepheureka.org

St. Joseph Hospital provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, St. Joseph Hospital complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Positions specified as "on call/per diem" refers to employment consisting of shifts scheduled on as "as needed basis" to fill in for staff vacancies.


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Authorization/Scheduling Specialist

St. Joseph Health